Novel fused pyrrolocarbazoles

ABSTRACT

The present invention relates generally to selected fused pyrrolocarbazoles, including pharmaceutical compositions thereof and methods of treating diseases therewith. The present invention is also directed to intermediates and processes for making these fused pyrrolocarbazoles.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims priority to U.S. application Ser. No. 11/744,030, filed May 3, 2007, now U.S. Pat. No. 7,514,440, which claims priority to U.S. Provisional Application No. 60/532,252, filed Dec. 23, 2003. The disclosures of all prior applications are incorporated herein by reference in their entirety for all purposes.

FIELD OF THE INVENTION

The present invention relates generally to fused pyrrolocarbazoles, including pharmaceutical compositions, diagnostic kits, assay standards or reagents containing the same, and methods of using the same as therapeutics. The invention is also directed to intermediates and processes for making these novel compounds.

BACKGROUND OF THE INVENTION

Publications cited throughout this disclosure are incorporated in their entirety herein by reference.

Various synthetic small organic molecules that are biologically active and generally known in the art as “fused pyrrolocarbazoles” have been prepared (See U.S. Pat. Nos. 5,475,110; 5,591,855; 5,594,009; 5,616,724; and 6,630,500). In addition, U.S. Pat. No. 5,705,511 discloses fused pyrrolocarbazole compounds which possess a variety of functional pharmacological activities. The fused pyrrolocarbazoles were disclosed to be used in a variety of ways, including: enhancing the function and/or survival of cells of neuronal lineage, either singularly or in combination with neurotrophic factor(s) and/or indolocarbazoles; enhancing trophic factor-induced activity; inhibition of protein kinase C (“PKC”) activity; inhibition of trk tyrosine kinase activity; inhibition of proliferation of a prostate cancer cell-line; inhibition of the cellular pathways involved in the inflammation process; and enhancement of the survival of neuronal cells at risk of dying. However, there remains a need for novel pyrrolocarbazole derivatives that possess beneficial properties. This invention is directed to this, as well as other important ends.

SUMMARY OF THE INVENTION

The present invention in one aspect is directed to fused pyrrolocarbazole compounds of Formula I:

and its stereoisomeric forms, mixtures of stereoisomeric forms, or pharmaceutically acceptable salt forms thereof, wherein the constituent members are defined infra.

The fused pyrrolocarbazoles of the present invention may be used in a variety of ways, including: for inhibition of angiogenesis; as antitumor agents; for enhancing the function and/or survival of cells of neuronal lineage, either singularly or in combination with neurotrophic factor(s) and/or indolocarbazoles; for enhancing trophic factor-induced activity; inhibition of kinase activity, such as trk tyrosine kinase (“trk”), vascular endothelial growth factor receptor (“VEGFR”) kinase, preferably VEGFR1 and VEGFR2, mixed lineage kinase (“MLK”), dual leucine zipper bearing kinase (“DLK”), platelet derived growth factor receptor kinase (“PDGFR”), protein kinase C (“PKC”), Tie-2, or CDK-1, -2, -3, -4, -5, -6; for inhibition of NGF-stimulated trk phosphorylation; for inhibition of proliferation of a prostate cancer cell-line; for inhibition of the cellular pathways involved in the inflammation process; and for enhancement of the survival of neuronal cells at risk of dying. In addition, the fused pyrrolocarbazoles may useful for inhibition of c-met, c-kit, and mutated Flt-3 containing internal tandem duplications in the juxtamembrane domain. Because of these varied activities, the disclosed compounds find utility in a variety of settings, including research and therapeutic environments.

In other embodiments, the compounds of the present invention are useful for treating or preventing angiogenesis and angiogenic disorders such as cancer of solid tumors, endometriosis, retinopathy, diabetic retinopathy, psoriasis, hemangioblastoma, ocular disorders or macular degeneration. In another embodiment, the compounds of the present invention are useful for treating or preventing neoplasia, rheumatoid arthritis, chronic arthritis, pulmonary fibrosis, myelofibrosis, abnormal wound healing, atherosclerosis, or restenosis. In further embodiments, the compounds of the present invention are useful for treating or preventing neurodegenerative diseases and disorders, such as Alzheimer's disease, amyotrophic lateral sclerosis, Parkinson's disease, stroke, ischemia, Huntington's disease, AIDS dementia, epilepsy, multiple sclerosis, peripheral neuropathy, chemotherapy induced peripheral neuropathy, AIDS related peripheral neuropathy, or injuries of the brain or spinal chord. In additional embodiments, the compounds of the present invention are useful for treating or preventing prostate disorders such as prostate cancer or benign prostate hyperplasia. In still other embodiments, the compounds of the present invention are useful for treating or preventing multiple myeloma and leukemias including, but not limited to, acute myelogenous leukemia, chronic myelogenous leukemia, acute lymphocytic leukemia, and chronic lymphocytic leukemia.

In further aspect, the present invention is directed to pharmaceutical compositions which comprises one or more pharmaceutically acceptable excipients and a therapeutically effective amount of a compound of the present invention.

DETAILED DESCRIPTION

Thus, in a first embodiment, the present invention provides a novel compound of Formula I:

wherein:

-   -   ring A together with the carbon atoms to which it is attached,         is selected from:         -   (a) a phenylene ring in which from 1 to 3 carbon atoms may             be replaced by nitrogen atoms; and         -   (b) a 5-membered aromatic ring in which from 1 to 2 carbon             atoms may be replaced by nitrogen atoms;     -   A¹ and A² are independently selected from H, H; and a group         wherein A¹ and A² together form a moiety selected from ═O;     -   B¹ and B² are independently selected from H, H; and a group         wherein B¹ and B² together form a moiety selected from ═O;     -   provided that at least one of the pairs A¹ and A², or B¹ and B²         forms ═O;     -   R¹ is H or optionally substituted alkyl, wherein said optional         substituents are one to three R¹⁰ groups;     -   R² is selected from H, C(═O)R^(2a), C(═O)NR^(2c)CR^(2d),         SO₂R^(2b), CO₂R^(2b), optionally substituted alkyl, optionally         substituted alkenyl, optionally substituted alkynyl, optionally         substituted cycloalkyl, and optionally substituted         heterocycloalkyl, wherein said optional substituents are one to         three R¹⁰ groups;     -   R^(2a) is selected from optionally substituted alkyl, optionally         substituted aryl, OR^(2b), NR^(2c)R^(2d),         (CH₂)_(p)NR^(2c)R^(2d), and O(CH₂)_(p)NR^(2c)R^(2d), wherein         said optional substituents are one to three R¹⁰ groups;     -   R^(2b) is selected from H and optionally substituted alkyl,         wherein said optional substituents are one to three R¹⁰ groups;     -   R^(2c) and R^(2d) are each independently selected from H and         optionally substituted alkyl, or together with the nitrogen to         which they are attached form an optionally substituted         heterocycloalkyl, wherein said optional substituents are one to         three R¹⁰ groups;     -   at least one of R³, R⁴, R⁵, and R⁶ is selected from OR¹⁴;         C(═O)R²²; CH═NR²⁶; NR¹¹C(═O)R²⁰; NR¹¹C(═O)OR¹⁵; OC(═O)R²⁰;         OC(═O)NR¹¹R²⁰; O-(alkylene)-R²⁴; Z¹-(alkylene)-R²³, wherein Z¹         is selected from CO₂, O₂C, C(═O), NR¹¹, NR¹¹C(═O), and         NR¹C(═O)O; and (alkylene)-Z²-(alkylene)-R²³, wherein Z² is         selected from O, S(O)_(y), C(═O)NR¹¹, NR¹¹C(═O), NR¹¹C(═O)NR¹¹,         OC(═O)NR¹¹, NR¹¹C(═O)O;         -   wherein said alkylene groups are optionally substituted with             one to three R¹⁰ groups;     -   the other R³, R⁴, R⁵, or R⁶ moieties can be selected         independently from H, R¹⁰, optionally substituted alkyl,         optionally substituted alkenyl, and optionally substituted         alkynyl, wherein said optional substituents are one to three R¹⁰         groups;     -   Q is selected from an optionally substituted C₁₋₂ alkylene,         wherein said optional substituents are one to three R¹⁰ groups;     -   R¹⁰ is selected from alkyl, cycloalkyl, spirocycloalkyl, aryl,         heteroaryl, heterocycloalkyl, arylalkoxy, F, Cl, Br, I, CN, CF₃,         NR^(27A)R^(27B), NO₂, OR²⁵, OCF₃, ═O, ═NR²⁵═N—OR²⁵, ═N—N(R²⁵)₂,         OC(═O)R²⁵, OC(═O)NHR¹¹, O—Si(R¹⁶)₄, O-tetrahydropyranyl,         ethylene oxide, NR¹⁶C(═O)R²⁵, NR¹⁶CO₂R²⁵,         NR¹⁶C(═O)NR^(27A)R^(27B), NHC(═NH)NH₂, NR¹⁶S(O)₂R²⁵,         S(O)_(y)R²⁵, CO₂R²⁵, C(═O)NR^(27A)R^(27B), C(═O)R²⁵, CH₂OR²⁵,         (CH₂)_(p)OR²⁵, CH═NNR^(27A)R^(27B), CH═NOR25, CH═NR25,         CH═NNHCH(N═NH)NH₂₅, S(═O)₂NR^(27A)R^(27B), P(═O)(OR²⁵)₂, OR¹³,         and a monosaccharide wherein each hydroxyl group of the         monosaccharide is independently either unsubstituted or is         replaced by H, alkyl, alkylcarbonyloxy, or alkoxy;     -   R¹¹ is selected from H and optionally substituted alkyl, wherein         said optional substituents are one to three R¹⁰ groups;     -   R¹² is selected from optionally substituted alkyl, optionally         substituted aryl, and optionally substituted heteroaryl, wherein         said optional substituents are one to three R¹⁰ groups;     -   R¹³ is the residue of an amino acid after the removal of the         hydroxyl moeity from the carboxyl group thereof,     -   R¹⁴ is optionally substituted heteroaryl, wherein said optional         substituents is one to three R¹⁰ groups;     -   R¹⁵ is optionally substituted alkyl, wherein said optional         substituents is one to three R¹⁰ groups;     -   R¹⁶ is H or alkyl;     -   R¹⁷ is selected from optionally substituted alkyl, optionally         substituted aryl, optionally substituted heteroaryl, optionally         substituted cycloalkyl, and optionally substituted         heterocycloalkyl, wherein said optional substituents are one to         three R¹⁰ groups;     -   R¹⁸ is selected from H, optionally substituted alkyl, optionally         substituted aryl, optionally substituted heteroaryl, optionally         substituted cycloalkyl, and optionally substituted         heterocycloalkyl, wherein said optional substituents are one to         three R¹⁰ groups;     -   R¹⁹ is selected from optionally substituted cycloalkyl,         optionally substituted heterocycloalkyl, and optionally         substituted heteroaryl, wherein said optional substituents are         one to three R¹⁰ groups;     -   R²⁰ is selected from optionally substituted aryl, optionally         substituted heteroaryl, optionally substituted cycloalkyl, and         optionally substituted heterocycloalkyl, wherein said optional         substituents are one to three R¹⁰ groups;

R²¹ is selected from H, optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, optionally substituted arylalkyl, optionally substituted heteroaryl, optionally substituted cycloalkyl, and optionally substituted heterocycloalkyl, wherein said optional substituents are one to three R¹⁰ groups;

-   -   R²² is selected from optionally substituted aryl, and optionally         substituted heteroaryl, wherein said optional substituents are         one to three R¹⁰ groups;     -   R²³ is selected from optionally substituted alkenyl, optionally         substituted alkynyl, optionally substituted aryl, optionally         substituted heteroaryl, optionally substituted cycloalkyl,         optionally substituted heterocycloalkyl, OR²¹, O(CH₂)_(p)OR²¹,         (CH₂)_(p)OR²¹, SR¹⁸, SOR¹⁷, SO₂R¹⁸, CN, N(R²⁰)₂,         CHOH(CH₂)_(p)N(R¹¹)₂, C(═O)N(R¹⁸)₂, NR¹⁸C(═O)R¹⁸,         NR¹⁸C(═O)N(R¹⁸)₂, C(═NR¹⁸)OR¹⁸, C(R¹²)═NOR¹⁸, NHOR²¹,         NR¹⁸C(═NR¹⁸)N(R⁸)₂, NHCN, CONR¹⁸OR¹⁸, CO₂R¹⁸, OCOR¹⁷,         OC(═O)N(R¹⁸)₂, NR¹⁸C(═O)OR¹⁷, and C(═O)R¹⁸, wherein said         optional substituents are one to three R¹⁰ groups;     -   R²⁴ is selected from optionally substituted alkenyl, optionally         substituted aryl, optionally substituted heteroaryl, optionally         substituted cycloalkyl, optionally substituted heterocycloalkyl,         CN, OR²¹, O(CH₂)_(p)OR²¹, (CH₂)_(p)OR²¹, SR¹⁹, SOR¹⁷, SO₂R¹⁸,         N(R¹⁸)₂, CHOH(CH₂)_(p)N(R¹¹)₂, NR¹⁸C(═O)R¹⁸, NR¹⁸C(═O)N(R¹⁸)₂,         C(═NR¹⁸)OR¹⁸, NHOR²¹, NR¹⁸C(═NR¹⁸)N(R¹⁸)₂, NHCN, C(═O)N(R¹⁸)₂,         C(═O)NR^(27A)R^(27B), C(═O)NR¹¹R²⁸, C(═O)NR¹⁸OR¹⁸,         C(═O)NR¹¹N(R¹¹)₂, C(═O)NR¹¹(alkylene)NR^(27A)R^(27B), CO₂R¹⁸,         OCORR¹⁷, OC(═O)N(R¹⁸)₂, NR¹⁸C(═O)OR¹⁷, C(═O)NR¹¹R¹⁸ and         C(═O)R¹⁸, wherein said optional substituents are one to three         R¹⁰ groups;     -   R²⁵ is H, alkyl, aryl, heteroaryl, cycloalkyl, or         heterocycloalkyl;     -   R²⁶ is selected from optionally substituted cycloalkyl and         optionally substituted heterocycloalkyl, wherein said optional         substituents are one to three R¹⁰ groups;     -   R^(27A) and R^(27B) are each independently selected from H and         alkyl, or together with the nitrogen to which they are attached         form an optionally substituted heterocycloalkyl, wherein said         optional substituents are selected from alkyl, aryl and         heteroaryl;     -   R²⁸ is optionally substituted arylalkyl, wherein said optional         substituent is one to three R¹⁰ groups;     -   p is independently selected from 1, 2, 3, and 4;     -   y is independently selected from 0, 1 and 2; and     -   a stereoisomer or a pharmaceutically acceptable salt form         thereof.

In another embodiment, the compounds of Formula I as defined herein are not intended to include any compounds disclosed in PCT Publ. No. WO 98/07433. In particular, when A¹, A² is ═O; B¹, B² are independently H or OH, or B¹, B² combine to form ═O; rings A and B are each phenylene; Q is CH—R^(a); and one of R² or R^(a) is H and the other is optionally substituted

wherein W is optionally substituted C₁ alkyl, or NR^(27A)R^(27B); then any of R³, R⁴, R⁵, and R⁶ cannot include OR¹⁴ or O-(alkylene)-R²⁴.

Other aspects of the present invention include the compounds of Formula I as defined herein wherein ring A is phenylene; or a 5-membered aromatic ring containing one nitrogen atom, preferably pyrazolylene, and more preferably

Further aspects include those compounds wherein R¹ is H or optionally substituted alkyl. Another aspect includes those compounds wherein R² is H, C(═O)R^(2a), C(═O)NR^(2c)R^(2d), SO₂R^(2b), CO₂R^(2b), optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, or optionally substituted cycloalkyl, and preferably H, optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, or optionally substituted cycloalkyl, and more preferably R² is H or optionally substituted alkyl. Additional aspects include those compounds wherein groups A¹A² are H, H; and B¹B² together form ═O. In yet another aspect, the invention includes compounds wherein Q is selected from an optionally substituted C₁₋₂ alkylene, or preferably Q is CH₂, or CH₂CH₂. Further aspects include those compounds wherein R¹⁴ is benzoxazole, benzothiazole, pyrimidine, pyrazine or triazine; R²² is a 5-membered heteroaryl group; R²⁰ is heterocycloalkyl or heteroaryl; R²³ is heteroaryl or heterocycloalkyl; R²⁴ is heteroaryl; and R²⁶ is heterocycloalkyl. Additional aspects of the present invention include any combination of the above preferred substituents, such as, for example, a compound of Formula I with the preferred moieties of groups R¹ and R²; or R¹ and Q; or R¹, R²; or Q; etc.

In another embodiment of the present invention, there are included compounds having a structure of Formula II:

In one aspect, there are included compounds of Formula II wherein ring A is phenylene or pyrazolylene, preferably

Another aspect includes those compounds wherein R¹ is H or optionally substituted alkyl. Further aspects include those compounds wherein R² is H, C(═O)R^(2a), C(═O)NR^(2c)R^(2d), SO₂R^(2b), CO₂R^(2b), optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, or optionally substituted cycloalkyl, and preferably H, optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, or optionally substituted cycloalkyl, and more preferably R² is H or optionally substituted alkyl. Additional aspects include compounds wherein Q is selected from an optionally substituted C₁₋₂ alkylene, or preferably Q is CH₂ or CH₂CH₂. Additional aspects of the present invention include any combination of the above preferred substituents, such as, for example, a compound of Formula II with the preferred moieties of groups R¹ and R²; or R¹ and Q; or R¹, R²; or Q; etc.

In yet another embodiment of the present invention, there are included compounds having a structure of Formula III:

where preferrably ring A is phenylene or pyrazolylene, preferably

and R¹ is H or optionally substituted alkyl; and Formula IV:

and Formula V:

and Formula VI:

In certain aspects of the present invention, there are included compounds of Formulas III-VI wherein R² is H, C(═O)R^(2a), C(═O)NR²CR^(2d), SO₂R^(2b), CO₂R^(2b), optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, or optionally substituted cycloalkyl, and preferably H, optionally substituted alkyl, optionally substituted alkenyl, optionally substituted alkynyl, or optionally substituted cycloalkyl, and more preferably R² is H or optionally substituted alkyl. Other aspects include those compounds wherein Q is selected from an optionally substituted C₁₋₂ alkylene, or preferably Q is CH₂ or CH₂CH₂. Additional aspects of the present invention include any combination of the above preferred substituents for each of Formulas III-VI.

The following paragraphs show additional aspects of the invention for at least one R³, R⁴, R⁵, and R⁶ for compounds of Formulas I-VI and their respective preferred embodiments described heretofore.

-   -   1. OR¹⁴; particularly those wherein R¹⁴ is optionally         substituted benzoxazole, optionally substituted benzothiazole,         optionally substituted pyrimidine, optionally substituted         pyrazine or optionally substituted triazine.     -   2. C(═O)R²²; particularly those wherein R²² is an optionally         substituted 5-membered heteroaryl group.     -   3. CH═NR26; particularly those wherein R26 is optionally         substituted heterocycloalkyl.     -   4. NR¹¹C(═O)R²⁰; particularly those wherein R²⁰ is optionally         substituted heteroaryl.     -   5. NR¹¹C(═O)OR¹⁵     -   6. OC(═O)R²⁰; particularly those wherein R²⁰ is optionally         substituted heterocycloalkyl.     -   7. OC(═O)NR¹¹R²⁰; particularly those wherein R²⁰ is optionally         substituted cycloalkyl or optionally substituted         heterocycloalkyl.     -   8. O-(alkylene)-R²⁴; particularly those wherein R²⁴ is         optionally substituted heterocycloalkyl     -   9. Z¹-(alkylene)-R²³, wherein Z¹ is selected from CO₂, O₂C,         C(═O), NR¹¹, NR¹¹C(═O), and NR¹¹C(═O)O; particularly those         wherein Z¹ is C(═O) or NR¹¹.     -   10. (alkylene)-Z²-(alkylene)-R²³, wherein Z² is selected from O,         S(O)_(y), C(═O)NR¹¹, NR¹¹C(═O), NR¹¹C(═O)NR¹¹, OC(═O)NR¹¹,         NR¹¹C(═O)O; particularly those wherein Z² is O, C(═O)NR¹¹, or         NR¹¹C(═O).

The preceding paragraphs may be combined to further define additional preferred embodiments of compounds of Formulas I-VI. For example, one such combination for R³, R⁴, R⁵, or R⁶ can include OR¹⁴; C(═O)R²²; NR¹¹C(═O)R²⁰; NR¹⁵C(═O)OR¹⁵; OC(═O)R¹¹; or OC(═O)NR¹¹R²⁰.

Another such combination includes OR¹⁴; C(═O)R²²; and NR¹C(═O)OR¹⁵.

A third such combination includes OR⁴, wherein R¹⁴ is benzoxazole, benzothiazole, pyrimidine, pyrazine or triazine; C(═O)R²², wherein R²² is a 5-membered heteroaryl group; NR¹¹C(═O)R²⁰, wherein R²⁰ is heteroaryl; NR¹¹C(═O)OR¹⁵; OC(═O)R²⁰, wherein R²⁰ is heterocycloalkyl; or OC(═O)NR¹¹R²⁰, wherein R²⁰ is cycloalkyl, wherein each R¹⁴, R²², and R²⁰ is optionally substituted as set forth above.

The following terms and expressions used herein have the indicated meanings.

In the formulas described and claimed herein, it is intended that when any symbol appears more than once in a particular formula or substituent, its meaning in each instance is independent of the other.

As used herein, the term “about” refers to a range of values from ±10% of a specified value. For example, the phrase “about 50 mg” includes ±10% of 50, or from 45 to 55 mg.

As used herein, a range of values in the form “x-y” or “x to y”, or “x through y”, include integers x, y, and the integers therebetween. For example, the phrases “1-6”, or “1 to 6” or “1 through 6” are intended to include the integers 1, 2, 3, 4, 5, and 6. Preferred embodiments include each individual integer in the range, as well as any subcombination of integers. For example, preferred integers for “1-6” can include 1, 2, 3, 4, 5, 6, 1-2, 1-3, 1-4, 1-5, 2-3, 2-4, 2-5, 2-6, etc.

As used herein “stable compound” or “stable structure” refers to a compound that is sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and preferably capable of formulation into an efficacious therapeutic agent. The present invention is directed only to stable compounds.

As used herein, the term “alkyl” refers to a straight-chain, or branched alkyl group having 1 to 8 carbon atoms, such as methyl, ethyl, propyl, isopropyl, butyl, isobutyl, sec-butyl, tert-butyl, pentyl, isoamyl, neopentyl, 1-ethylpropyl, 3-methylpentyl, 2,2-dimethylbutyl, 2,3-dimethylbutyl, hexyl, octyl, etc. The alkyl moiety of alkyl-containing groups, such as alkoxy, alkoxycarbonyl, and alkylaminocarbonyl groups, has the same meaning as alkyl defined above. Lower alkyl groups, which are preferred, are alkyl groups as defined above which contain 1 to 4 carbons. A designation such as “C₁-C₄ alkyl” refers to an alkyl radical containing from 1 to 4 carbon atoms.

As used herein, the term “alkenyl” refers to a straight chain, or branched hydrocarbon chains of 2 to 8 carbon atoms having at least one carbon-carbon double bond. A designation “C₂-C₈ alkenyl” refers to an alkenyl radical containing from 2 to 8 carbon atoms. Examples of alkenyl groups include ethenyl, propenyl, isopropenyl, 2,4-pentadienyl, etc.

As used herein, the term “alkynyl” refers to a straight chain, or branched hydrocarbon chains of 2 to 8 carbon atoms having at least one carbon-carbon triple bond. A designation “C₂-C₈ alkynyl” refers to an alkynyl radical containing from 2 to 8 carbon atoms. Examples include ethynyl, propynyl, isopropynyl, 3,5-hexadiynyl, etc.

As used herein, the term “alkylene” refers to a branched or straight chained hydrocarbon of 1 to 8 carbon atoms, which is formed by the removal of two hydrogen atoms. A designation such as “C₁-C₄ alkylene” refers to an alkylene radical containing from 1 to 4 carbon atoms. Examples include methylene (—CH₂—), propylidene (CH₃CH₂CH═), 1,2-ethandiyl (—CH₂CH₂—), etc.

As used herein, the term “phenylene” refers to a phenyl group with an additional hydrogen atom removed, ie. a moiety with the structure of:

As used herein, the term “cycloalkyl” refers to a saturated or partially saturated mono- or bicyclic alkyl ring system containing 3 to 10 carbon atoms. A designation such as “C₅-C₇ cycloalkyl” refers to a cycloalkyl radical containing from 5 to 7 ring carbon atoms. Preferred cycloalkyl groups include those containing 5 or 6 ring carbon atoms. Examples of cycloalkyl groups include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cyclohexenyl, cycloheptyl, cyclooctyl, etc.

As used herein, the term “spirocycloalkyl” refers to a cycloalkyl group bonded to a carbon chain or carbon ring moiety by a carbon atom common to the cycloalkyl group and the carbon chain or carbon ring moiety. For example, a C₃ alkyl group substituted with an R group wherein the R group is spirocycloalkyl containing 5 carbon atoms refers to:

As used herein, the term “aryl” refers to a mono- or bicyclic hydrocarbon aromatic ring system having 6 to 12 ring carbon atoms. Examples include phenyl and naphthyl. Preferred aryl groups include phenyl or naphthyl groups. Included within the definition of “aryl” are fused ring systems, including, for example, ring systems in which an aromatic ring is fused to a cycloalkyl ring. Examples of such fused ring systems include, for example, indane and indene.

As used herein, the terms “heterocycle”, “heterocyclic” or “heterocyclyl” refer to a mono- di-, tri- or other multicyclic aliphatic ring system that includes at least one heteroatom such as O, N, or S. The nitrogen and sulfur heteroatoms may be optionally oxidized, and the nitrogen may be optionally substituted in non-aromatic rings. Heterocycles are intended to include heteroaryl and heterocycloalkyl groups.

Some heterocyclic groups containing one or more nitrogen atoms include pyrrolidine, pyrroline, pyrazoline, piperidine, morpholine, thiomorpholine, N-methylpiperazine, indole, isoindole, imidazole, imidazoline, oxazoline, oxazole, triazole, thiazoline, thiazole, isothiazole, thiadiazole, triazine, isoxazole, oxindole, pyrazole, pyrazolone, pyrimidine, pyrazine, quinoline, iosquinoline, and tetrazole groups. Some heterocyclic groups formed containing one or more oxygen atoms include furan, tetrahydrofuran, pyran, benzofurans, isobenzofurans, and tetrahydropyran groups. Some heterocyclic groups containing one or more sulfur atoms include thiophene, thianaphthene, tetrahydrothiophene, tetrahydrothiapyran, and benzothiophenes.

As used herein, the term “heterocycloalkyl” refers to a cycloalkyl group in which one or more ring carbon atoms are replaced by at least one hetero atom such as —O—, —N—, or —S—, and includes ring systems which contain a saturated ring group bridged or fused to one or more aromatic groups. Some heterocycloalkyl groups containing both saturated and aromatic rings include phthalamide, phthalic anhydride, indoline, isoindoline, tetrahydroisoquinoline, chroman, isochroman, and chromene.

As used herein, the term “heteroaryl” refers to an aryl group containing 5 to 10 ring carbon atoms in which one or more ring carbon atoms are replaced by at least one hetero atom such as —O—, —N—, or —S—. Some heteroaryl groups of the present invention include pyridyl, pyrimidyl, purinyl, pyrrolyl, pyridazinyl, pyrazinyl, triazinyl, imidazolyl, triazolyl, tetrazolyl, indolyl, isoindolyl, quinolyl, isoquinolyl, qunioxalinyl, quinazolinyl, cinnolinyl, phthalazinyl, benzoimidazolyl, pyrazolyl, thiazolyl, thiadiazolyl, isothiazolyl, oxazolyl, isoxazolyl, naphthyridinyl, oxindolyl, and benzothiazolyl groups.

As used herein, the term “arylalkyl” refers to an alkyl group that is substituted with an aryl group. Examples of arylalkyl groups include, but are not limited to, benzyl, phenethyl, benzhydryl, diphenylmethyl, triphenylmethyl, diphenylethyl, naphthylmethyl, etc.

As used herein, the term “arylalkoxy” refers to an aryl-substituted alkoxy group, such as benzyloxy, diphenylmethoxy, triphenylmethoxy, phenylethoxy, diphenylethoxy, etc.

As used herein, the term “monosaccharide” refers to a simple sugar of the formula (CH₂O)_(n). The monosaccharides can be straight-chain or ring systems, and can include a saccharose unit of the formula —CH(OH)—C(═O)—. Examples of monosaccharides include erythrose, threose, ribose, arabinose, xylose, lyxose, allose, altrose, glucose, mannose, gulose, idose, galactose, talose, erythulose, ribulose, xyulose, psicose, fructose, sorbose, tagatose, erythropentulose, threopentulose, glycerotetrulose, glucopyranose, fructofuranose, etc.

As used herein, the term “amino acid” refers to a group containing both an amino group and a carboxyl group. Embodiments of amino acids include α-amino, β-amino, γ-amino acids. The α-amino acids have a general formula HOOC—CH (side chain)-NH₂. The amino acids can be in their D, L or racemic configurations. Amino acids include naturally-occurring and non-naturally occurring moieties. The naturally-occurring amino acids include the standard 20 α-amino acids found in proteins, such as glycine, serine, tyrosine, proline, histidine, glutamine, etc. Naturally-occurring amino acids can also include non-α-amino acids (such as β-alanine, γ-aminobutyric acid, homocysteine, etc.), rare amino acids (such as 4-hydroxyproline, 5-hydroxylysine, 3-methylhistidine, etc.) and non-protein amino acids (such as citrulline, ornithine, canavanine, etc.). Non-naturally occurring amino acids are well-known in the art, and include analogs of natural amino acids. See Lehninger, A. L. Biochemistry, 2^(nd) ed.; Worth Publishers: New York, 1975; 71-77, the disclosure of which is incorporated herein by reference. Non-naturally occurring amino acids also include α-amino acids wherein the side chains are replaced with synthetic derivatives. In certain embodiments, substituent groups for the compounds of the present invention include the residue of an amino acid after removal of the hydroxyl moiety of the carboxyl group thereof, i.e., groups of formula —C(═O)CH (side chain)-NH₂. Representative side chains of naturally occurring and non-naturally occurring α-amino acids include are shown below in Table A.

TABLE A H CH₃— HO—CH₂— C₆H₅—CH₂— HO—C₆H₄—CH₂—

HS—CH₂— HO₂C—CH(NH₂)—CH₂—S—S—CH₂— CH₃—CH₂— CH₃—S—CH₂—CH₂— CH₃—CH₂—S—CH₂—CH₂— HO—CH₂—CH₂— C₅H₉— C₆H₁₁— C₆H₁₁—CH₂— CH₃—CH(OH)— HO₂C—CH₂—NHC(═O)—CH₂— HO₂C—CH₂— HO₂C—CH₂—CH₂— NH₂C(═O)—CH₂— NH₂C(═O)—CH₂—CH₂— (CH₃)₂—CH— (CH₃)₂—CH—CH₂— CH₃—CH₂—CH₂— H₂N—CH₂—CH₂—CH₂— H₂N—C(═NH)—NH—CH₂—CH₂—CH₂— H₂N—C(═O)—NH—CH₂—CH₂—CH₂— CH₃—CH₂—CH(CH₃)— CH₃—CH₂—CH₂—CH₂— H₂N—CH₂—CH₂—CH₂—CH₂—

As used herein, the term “trk” refers to the family of high affinity neurotrophin receptors presently comprising trk A, trk B, and trk C, and other membrane associated proteins to which a neurotrophin can bind.

As used herein, the term “VEGFR” refers to the family of high affinity vascular endothelial growth factor receptors presently comprising VEGFR1, VEGFR2, VEGFR3, and other membrane associated proteins to which a VEGF can bind.

As used herein, the term “MLK” refers to the family of high affinity mixed lineage kinases presently comprising MLK1, MLK2, MLK3, MLK4a & 13, DLK, LZK, ZAK α & β, and other serine/threonine kinases classified within this family.

As used herein, the terms “enhance” or “enhancing” when used to modify the terms “function” or “survival” means that the presence of a compound of the present invention has a positive effect on the function and/or survival of a trophic factor responsive cell compared with a cell in the absence of the compound. For example, and not by way of limitation, with respect to the survival of, e.g., a cholinergic neuron, a compound of the present invention would evidence enhancement of survival of a cholinergic neuronal population at risk of dying (due to, e.g., injury, a disease condition, a degenerative condition or natural progression) when compared to a cholinergic neuronal population not presented with such a compound, if the treated population has a comparatively greater period of functionality than the non-treated population. As a further example, and again not by way of limitation, with respect to the function of, e.g., a sensory neuron, a compound of the present invention would evidence enhancement of the function (e.g. neurite extension) of a sensory neuronal population when compared to a sensory neuronal population not presented with such a compound, if the neurite extension of the treated population is comparatively greater than the neurite extension of the non-treated population.

As used herein, the terms “inhibit” or “inhibition” refer to a specified response of a designated material (e.g., enzymatic activity) is comparatively decreased in the presence of a compound of the present invention.

As used herein, the terms “cancer” or “cancerous” refer to any malignant proliferation of cells in a mammal. Examples include prostate, benign prostate hyperplasia, ovarian, breast, brain, lung, pancreatic, colorectal, gastric, stomach, solid tumors, head and neck, neuroblastoma, renal cell carcinoma, lymphoma, leukemia, other recognized malignancies of the hematopoietic systems, and other recognized cancers.

As used herein the terms “neuron”, “cell of neuronal lineage” and “neuronal cell” refer to a heterogeneous population of neuronal types having singular or multiple transmitters and/or singular or multiple functions; preferably, these are cholinergic and sensory neurons. As used herein, the phrase “cholinergic neuron” means neurons of the Central Nervous System (CNS) and Peripheral Nervous System (PNS) whose neurotransmitter is acetylcholine; exemplary are basal forebrain and spinal cord neurons. As used herein, the phrase “sensory neuron” includes neurons responsive to environmental cues (e.g., temperature, movement) from, e.g., skin, muscle and joints; exemplary is a neuron from the DRG.

As used herein the term “trophic factor” refers to a molecule that directly or indirectly affects the survival or function of a trophic factor responsive cell. Exemplary trophic factors include Ciliary Neurotrophic Factor (CNTF), basic Fibroblast Growth Factor (bFGF), insulin and insulin-like growth factors (e.g., IGF-J, IGF-IJ, IGF-III), interferons, interleukins, cytokines, and the neurotrophins, including Nerve Growth Factor (NGF), Neurotrophin-3 (NT-3), Neurotrophin-4/5 (NT-4/5) and Brain Derived Neurotrophic Factor (BDNF).

As used herein the term “trophic factor-responsive cell” refers to a cell which includes a receptor to which a trophic factor can specifically bind; examples include neurons (e.g., cholinergic and sensory neurons) and non-neuronal cells (e.g., monocytes and neoplastic cells).

As used herein the terms “trophic factor activity” and “trophic factor-induced activity”, refer to both endogenous and exogenous trophic factors, where “endogenous” refers to a trophic factor normally present and “exogenous” refers to a trophic factor added to a system. As defined, “trophic factor induced activity” includes activity induced by (1) endogenous trophic factors; (2) exogenous trophic factors; and (3) a combination of endogenous and exogenous trophic factors.

As used herein, the term “at risk of dying” in conjunction with a biological material, e.g., a cell such as a neuron, refers to a state or condition which negatively impacts the biological material such that the material has an increased likelihood of dying due to such state or condition. For example, compounds disclosed herein can “rescue” or enhance the survival of motoneurons which are naturally at risk of dying in an in ovo model of programmed cell death. Similarly, for example, a neuron may be at risk of dying due to the natural aging process which occasions the death of a neuron, or due to an injury, such as a trauma to the head, which may be such that neurons and/or glia, for example, impacted by such trauma may be at risk of dying. Further, for example, a neuron may be at risk of dying due to a disease state or condition, as in the case of neurons at risk of dying as occasioned by the disease ALS. Thus, by enhancing the survival of a cell at risk of dying by use of a compound of the claimed invention is meant that such compound decreases or prevents the risk of the death of the cell.

As used herein the term “contacting” refers to directly or indirectly causing placement together of moieties, such that the moieties directly or indirectly come into physical association with each other, whereby a desired outcome is achieved. Thus, as used herein, one can “contact” a target cell with a compound as disclosed herein even though the compound and cell do not necessarily physically join together (as, for example, is the case where a ligand and a receptor physically join together), as long as the desired outcome is achieved (e.g., enhancement of the survival of the cell). Contacting thus includes acts such as placing moieties together in a container (e.g., adding a compound as disclosed herein to a container comprising cells for in vitro studies) as well as administration of the compound to a target entity (e.g., injecting a compound as disclosed herein into a laboratory animal for in vivo testing, or into a human for therapy or treatment purposes).

As used herein, a “therapeutically effective amount” refers to an amount of a compound of the present invention effective to prevent or treat the symptoms of a particular disorder.

As used herein, the term “subject” refers to a warm blooded animal such as a mammal, preferably a human, or a human child, which is afflicted with, or has the potential to be afflicted with one or more diseases and conditions described herein.

As used herein, the term “pharmaceutically acceptable” refers to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem complications commensurate with a reasonable benefit/risk ratio.

As used herein, “pharmaceutically acceptable salts” refer to derivatives of the disclosed compounds wherein the parent compound is modified by making acid or base salts thereof. Examples of pharmaceutically acceptable salts include, but are not limited to, mineral or organic acid salts of basic residues such as amines; alkali or organic salts of acidic residues such as carboxylic acids; and the like. The pharmaceutically acceptable salts include the conventional non-toxic salts or the quaternary ammonium salts of the parent compound formed, for example, from non-toxic inorganic or organic acids. For example, such conventional non-toxic salts include those derived from inorganic acids such as hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric, nitric and the like; and the salts prepared from organic acids such as acetic, propionic, succinic, glycolic, stearic, lactic, malic, tartaric, citric, ascorbic, pamoic, maleic, hydroxymaleic, phenylacetic, glutamic, benzoic, salicylic, sulfanilic, 2-acetoxybenzoic, fumaric, toluenesulfonic, methanesulfonic, ethane disulfonic, oxalic, isethionic, and the like.

The pharmaceutically acceptable salts of the present invention can be prepared from the parent compound which contains a basic or acidic moiety by conventional chemical methods. Generally, such salts can be prepared by reacting the free acid or base forms of these compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two. Generally, nonaqueous media like ether, ethyl acetate, ethanol, isopropanol, or acetonitrile are preferred. Lists of suitable salts are found in Remington's Pharmaceutical Sciences, 17th ed., Mack Publishing Company, Easton, Pa., 1985, p. 1418, the disclosure of which is hereby incorporated by reference.

As used herein, the term “unit dose” refers to a single dose which is capable of being administered to a patient, and which can be readily handled and packaged, remaining as a physically and chemically stable unit dose comprising either the active compound itself, or as a pharmaceutically acceptable composition, as described hereinafter.

As used herein, “prodrug” is intended to include any covalently bonded carriers which release the active parent compound as defined in the present invention in vivo when such prodrug is administered to a mammalian subject. Since prodrugs are known to enhance numerous desirable qualities of pharmaceuticals (e.g., solubility, bioavailability, manufacturing, etc.) the compounds of the present invention may be delivered in prodrug form. Thus, the present invention contemplates prodrugs of the claimed compounds, compositions containing the same, and methods of delivering the same. Prodrugs of a compound of the present invention may be prepared by modifying functional groups present in the compound in such a way that the modifications are cleaved, either in routine manipulation or in vivo, to the parent compound. Accordingly, prodrugs include, for example, compounds of the present invention wherein a hydroxy, amino, or carboxy group is bonded to any group that, when the prodrug is administered to a mammalian subject, cleaves to form a free hydroxyl, free amino, or carboxylic acid, respectively. Examples include, but are not limited to, acetate, formate and benzoate derivatives of alcohol and amine functional groups; and alkyl, carbocyclic, aryl, and alkylaryl esters such as methyl, ethyl, propyl, iso-propyl, butyl, isobutyl, sec-butyl, tert-butyl, cyclopropyl, phenyl, benzyl, and phenethyl esters, and the like.

It is recognized that compounds of the present invention may exist in various stereoisomeric forms. As such, the compounds of the present invention include their respective diastereomers or enantiomers. The compounds are normally prepared as racemates and can conveniently be used as such, but individual diastereomers or enantiomers can be isolated or synthesized by conventional techniques if so desired. Such racemates and individual diastereomers or enantiomers and mixtures thereof form part of the present invention.

It is well known in the art how to prepare and isolate such optically active forms. Specific stereoisomers can be prepared by stereospecific synthesis using enantiomerically pure or enantiomerically enriched starting materials. The specific stereoisomers of either starting materials or products can be resolved and recovered by techniques known in the art, such as resolution of racemic forms, normal, reverse-phase, and chiral chromatography, recrystallization, enzymatic resolution, or fractional recrystallization of addition salts formed by reagents used for that purpose. Useful methods of resolving and recovering specific stereoisomers described in Eliel, E. L.; Wilen, S. H. Stereochemistry of Organic Compounds; Wiley: New York, 1994, and Jacques, J, et al. Enantiomers, Racemates, and Resolutions; Wiley: New York, 1981, each incorporated by reference herein in their entireties.

It is further recognized that functional groups present on the compounds of the present invention may contain protecting groups. For example, the amino acid side chain substituents of the compounds of the present invention can be substituted with protecting groups such as benzyloxycarbonyl or t-butoxycarbonyl groups. Protecting groups are known per se as chemical functional groups that can be selectively appended to and removed from functionalities, such as hydroxyl groups and carboxyl groups. These groups are present in a chemical compound to render such functionality inert to chemical reaction conditions to which the compound is exposed. Any of a variety of protecting groups may be employed with the present invention. Preferred groups for protecting lactams include silyl groups such as t-butyldimethylsilyl (“TBDMS”), dimethoxybenzhydryl (“DMB”), acyl, benzyl, and methoxybenzyl groups. Preferred groups for protecting hydroxy groups include TBS, acyl, benzyl (“Bn”), benzyloxycarbonyl (“CBZ”), t-butyloxycarbonyl (“Boc”), and methoxymethyl. Many other standard protecting groups employed by one skilled in the art can be found in Greene, T. W. and Wuts, P. G. M., “Protective Groups in Organic Synthesis” 2d. Ed., Wiley & Sons, 1991.

Synthesis

The general routes to prepare the examples shown in Tables 1-3 of the present invention are shown in the Schemes 1-4. The intermediates used to prepare the examples and their mass spectral data are shown in the Table B. The reagents and starting materials are commercially available, or readily synthesized by well-known techniques by one of ordinary skill in the arts. All processes disclosed in association with the present invention are contemplated to be practiced on any scale, including milligram, gram, multigram, kilogram, multikilogram or commercial industrial scale. All substituents in the synthetic schemes, unless otherwise indicated, are as previously defined.

TABLE B I-14 399 (M + 1)

I-18 383 (M − 1)

I-19 339 (M − 1)

I-22 504 (M + 1)

I-23

R 357 (M + 1) 23-1: Ethyl 371 (M + 1) 23-2: nPropyl 385 (M + 1) 23-3: i-butyl 369 (M + 1) 23-4: allyl 426 (M + 1) 23-5: CH₂CH₂NC₄H₈ 400 (M + 1) 23-6: CH₂CH₂NMe₂ 482 (M + 1) 23-7: (CH₂)₆NC₄H₈ I-29

R 386 (M + 1) 29-1: i-Propyl 386 (M + 1) 29-2: nPropyl 400 (M + 1) 29-3: i-Butyl 400 (M + 1) 29-4: nButyl I-33

R 373 (M + 1) 33-1: Ethyl 401 (M + 1) 33-2: i-Butyl 387 (M + 1) 33-3: i-Propyl 387 (M + 1) 33-4: Propyl I-36 385 (M + 1)

I-39 401 (M + 1)

I-41 399 (M + 1)

The general procedures to prepare the pyrrolocarbazoles of the present invention are described in U.S. Pat. Nos. 5,705,511 (“the '511 patent”) and 6,630,500, PCT Publ. No. WO 00/47583, J. Heterocyclic Chemistry, 2001, 38, 591, and J. Heterocyclic Chemistry, 2003, 40, 135. In general, the lactam nitrogen or intermediate alcohol groups of the intermediates outlined in Table B may be protected with such groups as acetyl, substituted silyl, benzyl, Boc, or dimethoxybenzhydrol.

Intermediate 1-23 (wherein R is hydrogen) used to prepare examples in Table 2, was prepared from the β-ketone, 2-methyl-1,4,6,7-tetrahydro-5H-indazol-5-one (Peet, N. P.; LeTourneau, M. E.; Heterocycles, 1991, 32, 41) using methods described in the '511 patent and in J. Heterocyclic Chemistry, 2003, 40, 135.

As shown in Scheme 1, the NI-methylpyrazole derivatives in Table 3 were prepared from the 1-methyl α-ketone (J. Chem. Res., 1986, 1401). The N2-methyl pyrazole intermediates were prepared according to procedures in J. Heterocyclic Chem. 1992, 19, 1355.

Scheme 2 outlines the route to prepare carbamate-type derivatives, such as Examples 1-2, and 70-72. An alternate method to preparing N,N-di-substituted carbamates utilized a nitrophenyl carbonate intermediate which may be treated with various primary or secondary amines. Similarly urea, O-carbamate, and N-carbamate derivatives may be prepared from reaction of the appropriate amine or phenol intermediate with an isocyanate or chloroformate or from the appropriate nitrophenyl carbonate, nitrophenyl carbamate, or trichloromethylcarbonyl (see J. Org. Chem. 2003, 68, 3733-3735).

Scheme 3 outlines a route to prepare heteroaryl ethers from the corresponding phenol using a base such as sodium hydride and a heteroaryl bromide or chloride.

Scheme 4 shows a route for the preparation of N-carbamates (examples 50-69) or amides (examples 74-82) from the corresponding aniline intermediates 1-29. Amino intermediates 1-29 were prepared by alkylation of the appropriate cyano-esters with the appropriate alkyl iodide or bromide followed by nitration, and subsequent RaNi reduction to provide the amino-lactam. The desired compounds were readily prepared from the amine.

Heteroaryl ketones may be prepared using standard Friedel-Crafts type acylation reactions.

EXAMPLES

Other features of the invention will become apparent in the course of the following descriptions of exemplary embodiments as shown in the following Tables 1-5. The compounds of Tables 1-5 show activity in the targets described herein at concentrations ranging from 0.1 nM to 10 μM. These examples are given for illustration of the invention and are not intended to be limiting thereof.

TABLE 1

Ex. No. R³ R² Q R⁵ 1

H CH₂CH₂ OiPr 2

H CH₂CH₂ OiPr 3

H CH₂CH₂ OiPr 4

H CH₂CH₂ OiPr 5

H CH₂CH₂ OiPr 6

CH₂CH₂CH₃ CH₂CH₂ O^(i)Pr 7

H CH₂CH₂ O^(i)Pr 8

CH₂CH₂CH₃ CH₂CH₂ O^(i)Pr 9 H CH₂CH₂OH CH₂CH₂

10 H

CH₂CH₂

11 H CH₂CH₂OH CH₂CH₂

12 H H CH₂CH₂

TABLE 2

Ex. No. R³ R² Q 13

H CH₂CH₂ 14

CH₂CH₃ CH₂CH₂ 15

CH₃ CH₂CH₂ 16

CH₂CH₂ 17

H CH₂CH₂ 18

CH₂CH₂CH₂CH₃ CH₂CH₂ 19

CH(CH₃)₂ CH₂CH₂ 20

CH₂CH₂ 21

CH₂CH₂ 22

CH₂CH(CH₃)₂ CH₂CH₂ 23

CH₂CH₃ CH₂CH₂ 24

CH₂CH(CH₃)₂ CH₂CH₂ 25

CH₂CH₃ CH₂CH₂ 26

H CH₂CH₂ 27

CH₂CH₃ CH₂CH₂ 28

H CH₂CH₂ 29

CH₂CH₂CH₃ CH₂CH₂ 30

CH₂CH(CH₃)₂ CH₂CH₂ 31

CH₂CH(CH₃)₂ CH₂CH₂ 32

CH₂CH═CH₂ CH₂CH₂ 33

CH₂COOEt CH₂CH₂ 34

CH₂COOH CH₂CH₂ 35

CH₂CH(CH₃)₂ CH₂CH₂ 36

CH₂CH(CH₃)₂ CH₂CH₂ 37

CH₂CH(CH₃)₂ CH₂CH₂ 38

CH₂CH(CH₃)₂ CH₂CH₂ 39

CH₂CH₂CH₃ CH₂CH₂ 40

CH(CH₃)₂ CH₂CH₂ 41

CH₂CH(CH₃)₂ CH₂CH₂ 42

CH₂CH₂NMe₂ CH₂CH₂ 43

CH₂CH₂ 44

CH₂CH₂ 45

CH₂CH(CH₃)₂ CH₂CH₂ 46

CH₂CH₂ 47

CH₂CH₂ 48

CH₂CH₂ 49

CH₂CH₂ 50

CH₂CH₂CH₃ CH₂CH₂ 51

CH₂CH₂CH₃ CH₂CH₂ 52

CH₂CH₂CH₃ CH₂CH₂ 53

CH₂CH₂CH₃ CH₂CH₂ 54

CH₂CH₂CH₃ CH₂CH₂ 55

CH₂CH₂CH₃ CH₂CH₂ 56

CH(CH₃)₂ CH₂CH₂ 57

CH₂CH(CH₃)₂ CH₂CH₂ 58

CH₂CH(CH₃)₂ CH₂CH₂ 59

CH₂CH(CH₃)₂ CH₂CH₂ 60

CH₂CH(CH₃)₂ CH₂CH₂ 61

CH(CH₃)₂ CH₂CH₂ 62

CH₂CH₂CH₃ CH₂CH₂ 63

CH₂CH(CH₃)₂ CH₂CH₂ 64

CH₂CH(CH₃)₂ CH₂CH₂ 65

CH₂CH(CH₃)₂ CH₂CH₂ 66

CH(CH₃)₂ CH₂CH₂ 67

CH(CH₃)₂ CH₂CH₂ 68

CH(CH₃)₂ CH₂CH₂ 69

CH(CH₃)₂ CH₂CH₂ 70

CH₂CH₃ CH₂CH₂ 71

CH₂CH(CH₃)₂ CH₂CH₂ 72

CH(CH₃)₂ CH₂CH₂ 73

CH₂CH(CH₃)₂ CH₂CH₂ 74

CH(CH₃)₂ CH₂CH₂ 75

CH₂CH₂CH₃ CH₂CH₂ 76

CH₂CH₂CH₃ CH₂CH₂ 77

CH(CH₃)₂ CH₂CH₂ 78

CH(CH₃)₂ CH₂CH₂ 79

CH₂CH(CH₃)₂ CH₂CH₂ 80

CH₂CH(CH₃)₂ CH₂CH₂ 81

CH₂CH₂CH₃ CH₂CH₂ 82

CH₂CH(CH₃)₂ CH₂CH₂

TABLE 3 Ex. No. R³ R² Q 83

CH₂CH(CH₃)₂ CH₂CH₂ 84

CH₂CH(CH₃)₂ CH₂CH₂ 85

CH₂CH(CH₃)₂ CH₂CH₂

TABLE 4 Example MS m/e No. Structure (M + 1) 86

509 87

511 88

493 89

454 90

464 91

482 92

457 93

486 94

502 95

514 96

562 97

528 98

555 99

487 100

459 101

500 102

472 103

488 104

459 105

548 106

585 107

430 108

569 109

541 110

557 111

529 112

563 113

577 114

535 115

549 116

571 117

598 118

543 119

570 120

507 121

525 122

521 123

535 124

549 125

576 126

549 127

537 128

542 129

573 130

563 131

589 132

577 133

565 134

604 135

577 200

543 201

575 202

590 203

576 204

577 205

607 206

621 207

593 208

564 209

607 210

629 211

579 212

593

TABLE 5

Eg. R³ R² Q R⁵ 136

CH₂CH₂CH₂OH CH₂ H 137

CH₂CH₂CH₂OH CH₂ H 138

CH₂CH₂CH₂OH CH₂ H 139

CH₂CH₂CH₂OH CH₂ H 140

CH₂CH₂CH₂OH CH₂ H 141

CH₂CH₂CH₂OH CH₂ H 142

CH₂CH₂CH₂OH CH₂ H 143

CH₂CH₂CH₂OH CH₂ H 144

CH₂CH₂CH₂OH CH₂ H 145

CH₂CH₂CH₂OH CH₂ H 146

CH₂CH₂CH₂OH CH₂ H 147

H CH₂CH₂ OCH₃ 148

CH₂CH₂OH CH₂ OCH₃ 149

CH₂CH₂OH CH₂CH₂ OCH₃ 150

CH₂CH₂CH₂OH CH₂ H 151

CH₂CH₂CH₂OH CH₂ H 152

H CH₂ H 153

H CH₂ H 154

H CH₂ H 155

H CH₂ H 156

H CH₂ OCH₃ 157

CH₂ H 158

CH₂CH(OH)— CH₃ CH₂ H 159

H CH(OH) CH₃ H 160

CH₂CH₂OH CH₂CH₂ OCH₃ 161

H CH₂CH₂ OiPr 162

CH₂CH₂OH CH₂CH₂ OCH₃ 163

H CH₂CH₂ OCH₃ 164

H CH₂CH₂ OiPr 165

H CH₂CH₂ OiPr 166

H CH₂CH₂ OiPr 167 H CH₂CH₂OH CH₂CH₂

168 H CH₂CH₂OH CH₂CH₂ O(CH₂)₂OH 169 H CH₂CH₂OH CH₂CH₂

170 H CH₂CH₂OH CH₂CH₂ O[(CH₂)₂O]₂Me 171 H CH₂CH₂OH CH₂CH₂

172 H CH₂CH₂OH CH₂CH₂

173 H CH₂CH₂OH CH₂CH₂

174 H CH₂CH₂OH CH₂CH₂

175 H CH₂CH₂OH CH₂CH₂ OCH(CH₃)CO₂Et 176 H CH₂CH₂OH CH₂CH₂

177 H CH₂CH₂OH CH₂CH₂ OCH₂CO₂tBu 178 H H CH₂CH₂

179 H CH₂CH₂OH CH₂CH₂ OCH₂CO₂Et 180 H CH₂CH₂OH CH₂CH₂

181 H CH₂CH₂OH CH₂CH₂ O(CH₂)₂OMe 182 H CH₂CH₂OH CH₂CH₂ O(CH₂)₃CN 183 H CH₂CH₂OH CH₂CH₂ O(CH₂)₅CN 184 H CH₂CH₂OH CH₂CH₂ O(CH₂)₂OEt 185 H CH₂CH₂OH CH₂CH₂ O(CH₂)₄CN 186 H CH₂CH₂OH CH₂CH₂ O(CH₂)₆CN 187 H CH₂CH₂OH CH₂CH₂ OCH₂CN 188 H CH₂CH₂OH CH₂CH₂ O(CH₂)₄C(═NH)OEt 189 H CH₂CH₂OH CH₂CH₂ O(CH₂)₄CO₂H 190 H CH₂CH₂OH CH₂CH₂ O(CH₂)₆CONH₂ 191 H CH₂CO₂Et CH₂ OCH₂CO₂Et 192 H H CH₂ OCH₂CO₂Et 193 H H CH₂ OCH₂CN 194 H H CH₂ OCH₂CH₂OH 195 H CH₂CH₂OH CH₂ OCH₂CH₂OH 196 H H CH₂ OCH₂CH(OH)CH₂OH 197 H H CH₂ OCH₂CONMe₂ 198 H H CH₂ OCH₂CH(OH)CH₂NMe₂ 199 H H CH₂

General Procedure for Examples 1 and 2

A mixture of phenol intermediate I-14 (0.05 mmol.), isocyanate (0.05 mmol.), cesium hydrogen carbonate (0.5 mg) and tetrahydrofuran (0.5 mL) was stirred at room temperature for 1 day. The solvent was evaporated and the residue stirred for 8 hours with ethyl acetate and 3N HCl. The ethyl acetate was removed by evaporation and the aqueous solution was decanted from the solid. The residue was triturated with methanol and the product collected.

Example 1. (26%) MS m/e 510 (M+1); ¹H NMR (DMSO-d₆) δ 11.60 (s, 1H), 8.33 (s, 1H), 8.16 (d, 1H), 7.63 (d, 1H), 7.53 (s, 1H), 7.51 (d, 1H), 7.18 (d, 1H), 6.86 (s, 1H), 6.77 (d, 1H), 4.77 (s, 2H), 4.68 (m, 1H), 3.87 (m, 1H), 2.98 (t, 2H), 2.83 (t, 2H), 1.85 (m, 2H), 1.69 (m, 2H), 1.52 (m, 4H), 1.31 (d, 6H). Example 2. (36%) MS m/e 524 (M+1); ¹H NMR (DMSO-d₆) 11.59 (s, 1H), 8.33 (s, 1H), 8.16 (d, 1H), 7.63 (s, 1H), 7.52 (d, 1H), 7.17 (d, 1H), 6.86 (s, 1H), 6.78 (d, 1H), 4.77 9s, 2H), 4.68 m, 1H), 3.00 (t, 2H), 2.83 (t, 2H), 1.87 (m, 2H), 1.72 (m, 2H), 1.56 (d, 1H), 1.30 (d, 6H). Example 3. A suspension of sodium hydride (2.44 mg, 1.22 eq.) in 0.5 mL of THF was stirred under N₂ as phenol intermediate I-14 (20.6 mg, 0.05 mmol) in 2.0 mL of THF:DMF (1:1) was added dropwise. After 10 minutes of stirring, 2-bromopyrimidine (8.9 mg, 1.12 equivalents) in 0.5 mL of THF was added. The mixture was stirred at 60° C. for 14 hours. The mixture was cooled to room temperature, diluted with CH₂Cl₂/MeOH, filtered through celite and concentrated. Purification was achieved by preparative TLC with CH₂Cl₂/MeOH (9:1) to afford the product (4.0 mg, 17%) (MS: 477 m/e (M+H)⁺). Example 4. The compound was prepared according to the procedure of Example 3 using phenol intermediate I-14 and 2-chlorobenzoxazole; 40 hr; preparative TLC (10% MeOH in CH₂Cl₂); yield 28%; MS: 516 m/e (M+1)⁺. Example 5. The compound was prepared according to the procedure of Example 3 using intermediate I-14 and 2-chlorobenzothiazole; 40 hr; preparative TLC (10% MeOH in CH₂Cl₂); yield 13%; MS: 531 m/e (M+1)⁺. Example 6. To a mixture of Example 3 (25.0 mg, 0.052 mmol) and cesium carbonate (81 mg, 5.0 eq) in 2.0 mL of CH₃CN was added n-propyl bromide (47 ul, 10.0 eq.) under N₂. After stirring at 90° C. for 14 hours, the mixture was diluted with CH₂Cl₂, filtered through celite and concentrated. Purification by preparative TLC with 95% of CH₂Cl₂/MeOH afforded the product (15.0 mg, 56%); MS: m/e 519 (M+1)⁺. Example 7. The compound was prepared using to the procedure of Example 3 using intermediate I-14 and 2-bromopyrazine; preparative TLC (10% MeOH in CH₂Cl₂); MS 499 m/e (M+1)⁺. Example 8. The compound was prepared according to the procedure of Example 6 using Example 7 as starting material. MS m/e 519 (M+1).

Synthesis of Phenol Intermediates I-18 and I-19.

A mixture of AlCl₃ (800 mg, 6 mmol) in dichloroethane (8 mL) was stirred at 0° C. as EtSH (1.40 mL) was added and followed by intermediate I-41 (398 mg, 1 mmol). The reaction was stirred at 50° C. for 48 hr. To the reaction mixture was added 5 mL of 1N HCl and the mixture was stirred at rt for 0.5 hr. Filtration provided 240 mg (63%) of intermediate I-18 (MS: 385 m/e (M+1)⁺. By a similar method intermediate I-19 was prepared from the methoxy N—H derivative. Examples 9 and 10. A suspension of sodium hydride (12.2 mg, 1.22 eq.) in 0.5 mL of THF was stirred under N₂ as phenol intermediate I-18 (76.8 mg, 0.2 mmol) in 4.0 mL of THF:DMF (1:1) was added dropwise at room temperature. After 10 minutes stirring, 2-chloro-benzothiazole (38 mg, 1.12 eq.) in 0.5 mL of THF was added. The mixture was then stirred at 60° C. for 40 hours, diluted with CH₂Cl₂/MeOH, filtered through celite and concentrated. Purification by preparative TLC with (9:1) CH₂Cl₂/MeOH afforded the mono product Example 9 (6.0 mg, yield 6%) (MS: 517 m/e (M+H)⁺) and the dialkylated product Example 10 (60 mg, yield 46%) (MS: 651 m/e (M+H)⁺). Example 11. The compound was prepared according to the procedure of Example 10 using phenol intermediate I-18 and 2-chlorobenzoxazole; 36 hr; preparative TLC (10% MeOH in CH₂Cl₂); yield 11%; MS: 502 m/e (M+1)⁺. Example 12. The compound was prepared according to the procedure of Example 10 using intermediate I-19 and 2-bromopyrimidine; 36 hr; preparative TLC (10% MeOH in CH₂Cl₂); yield 25%; MS: 419 m/e (M+1)⁺. Example 13. The compound was prepared according to the procedure for Example 3 using phenol intermediate I-22 and 2-bromopyrimidine; 30 hr; preparative TLC (10% MeOH in CH₂Cl₂); yield 53%; MS: 423 m/e (M+1)⁺. Example 14. The compound was prepared according to the procedure for Example 6 using Example 13 and iodoethane; 14 hr; preparative TLC (10% MeOH in CH₂Cl₂); yield 19%; MS: 451 m/e (M+1)⁺. Example 15. The compound was prepared according to the procedure for Example 6 using Example 13 and iodomethane; 14 hr; preparative TLC (10% MeOH in CH₂Cl₂); yield 28%; MS: 459 m/e (M+23)⁺. Example 16. The compound was prepared according to the procedure for Example 6 using Example 13 and cyclopentyl bromide; 14 hr; preparative TLC (10% MeOH in CH₂Cl₂); yield 38%; MS: 513 m/e (M+23)⁺. Example 17. A mixture of phenol intermediate I-22 (17.2 mg, 0.05 mmol), potassium t-butoxide (33.7 mg, 6 eq.) and t-butylammonium bromide (0.97 mg, 0.06 eq) was mixed and stirred for 5 minutes, then 1.0 mL of chloropyrazine was added, then stirred at room temperature for 5 minutes and at 90° C. for 1 hour. The mixture was cooled to room temperature, excess of the chloropyrazine was evaporated off and the resulting residue was diluted with CH₂Cl₂/MeOH. Purification by preparative TLC with (9:1) CH₂Cl₂/MeOH afforded the mono product (11.0 mg, yield 52%) MS: 423 m/e (M+1)⁺. Example 18. The compound was prepared according to the procedure for Example 6 using Example 13 and butyl bromide; 14 hr; preparative TLC (10% MeOH in CH₂Cl₂); yield 38%; MS: 479 m/e (M+1)⁺. Example 19. The compound was prepared according to the procedure for Example 10 using Example 13 and 2-propyl bromide; 60 hr; preparative TLC (10% MeOH in CH₂Cl₂); yield 10%; MS: 465 m/e (M+1)⁺. Example 20. The compound was prepared according to the procedure for Example 6 using Example 13 and 2-cyclopropylmethyl bromide; 14 hr; preparative TLC (10% MeOH in CH₂Cl₂); yield 5%; MS: 477 m/e (M+1)⁺. Example 21. The compound was prepared according to the procedure for Example 6 using Example 13 and 2-cyclopropylmethyl bromide; 14 hr; preparative TLC (10% MeOH in CH₂Cl₂); MS: 507 m/e (M+1)⁺. Example 22. The compound was prepared according to the procedure for Example 6 using Example 13 and isobutyl bromide; preparative TLC (10% MeOH in CH₂Cl₂); MS: 493 m/e (M+1)⁺. Example 23. The compound was prepared according to the procedure for Example 6 using Example 17 and ethyl iodide; preparative TLC (10% MeOH in CH₂Cl₂); MS: 451 m/e (M+1)⁺. Example 24. The compound was prepared according to the procedure for Example 6 using Example 13 and 1-bromo-3,5-dimethoxytriazine; preparative TLC (10% MeOH in CH₂Cl₂); MS: 540 m/e (M+1)⁺. Example 25. To 25 mg (0.07 mmol) of the N-ethyl intermediate I-23-1 in methylene chloride/nitromethane (3 mL/2 mL) was slowly added 2-furoyl chloride (69 μl, 0.7 mmol, 10 eq) followed by aluminum chloride (93 mg, 0.7 mmol, 10 eq). The reaction was stirred at room temperature overnight. The reaction mixture was concentrated, water and a few drops of 1N HCl were added to the residue and the mixture was extracted with methylene chloride. The combined organic extracts were dried with sodium sulfate, the drying agents removed by filtration, and the solvent was removed by evaporation. The crude mixture was dissolved in methanol/methylene chloride and purified by preparative TLC eluting with 10% methanol/methylene chloride. The desired band was collected, stirred with methylene chloride/methanol, filtered through a fritted funnel, and concentrated. The sample was dried at 80° C. under high vacuum overnight. MS m/e 451 (M+1). Example 26. The compound was prepared by the method described for Example 25. MS m/e 438 (M+1). Example 27. To the N-ethyl intermediate I-23-1 (25 mg, 0.07 mmol) in nitromethane (5 mL) was added 2-thiophene carbonyl chloride (75 μl 0.7 mmol, 10 eq) followed by addition of aluminum chloride (94 mg, 0.7 mmol, 10 eq) in small portions. The reaction mixture was stirred at room temperature overnight. The reaction was then concentrated, stirred with water and a few drops of 1 N HCl were added. The product was collected by filtration, dissolved in methylene chloride/methanol and purified by preparative TLC eluting with 10% methanol/methylene chloride. The desired band was collected, stirred with methylene chloride/methanol, filtered, and concentrated. The sample was dried at 80° C. under vacuum overnight. MS m/e 467 (M+1). Examples 28-49 were prepared using the general method described for Example 27 using the appropriate N-alkyl intermediate I-23, and heteroaryl acid chloride with AlCl₃ or FeCl₃ as catalyst.

Example 28. MS m/e 423 (M+1) Example 29. MS m/e 465 (M+1) Example 30. MS m/e 479 (M+1) Example 31. MS m/e 495 (M+1) Example 32. MS m/e 463 (M+1) Example 33. MS m/e 509 (M+1) Example 34. MS m/e 481 (M+1) Example 35. MS m/e 530 (M+1) Example 36. MS m/e 495 (M+1) Example 37. MS m/e 479 (M+1) Example 38. MS m/e 574 (M+1) Example 39. MS m/e 481 (M+1) Example 40. MS m/e 481 (M+1) Example 41. MS m/e 608 (M+1) Example 42. MS m/e 588 (M+1) Example 43. MS m/e 536 (M+1) Example 44. MS m/e 520 (M+1) Example 45. MS m/e 509 (M+1) Example 46. MS m/e 592 (M+1) Example 47. MS m/e 550 (M+1) Example 48. MS m/e 550 (M+1) Example 49. MS m/e 570 (M+1)

Example 50. To a stirred solution of 3-amino intermediate I-29-2 (25 mg, 0.0649 mmol) in CH₂Cl₂ (5 mL) was added isopropyl chloroformate (1.0 M in toluene, 125 μL, 0.125 mmol) and pyridine (20 μL, 0.247 mmol). After stirring 3 h at room temperature, the resulting precipitate was filtered and dried to give 28 mg (91%) of the desired product. ¹H NMR (DMSO-d₆) δ 9.51 (s, 1H), 8.85 (s, 1H), 8.36 (s, 1H), 8.08 (s, 1H), 7.61-7.49 (m, 2H), 4.98 (m, 1H), 4.68 (s, 2H), 4.51 (m, 2H), 3.86 (s, 3H), 3.45 (m, 2H), 2.83 (m, 2H), 1.80 (m, 2H), 1.29 (m, 6H), 0.89 (m, 3H); MS (m/e) 472 (M+1).

Example 51. MS m/e 458 (M+H). Example 52. MS m/e 486 (M+H). Example 53. MS m/e 472 (M+H). Example 54. MS m/e 476 (M+H). Example 55. MS m/e 492 (M+H). Example 56. MS m/e 458 (M+H). Example 57. MS m/e 500 (M+H). Example 58. MS m/e 486 (M+H). Example 59. MS m/e 486 (M+H). Example 60. MS m/e 472 (M+H). Example 61. MS m/e 472 (M+H). Example 62. MS m/e 536 (M+H). Example 63. MS m/e 490 (M+H). Example 64. MS m/e 506 (M+H). Example 65. MS m/e 550 (M+H). Example 66. MS m/e 486 (M+H).

Example 68. To 25 mg (0.045 mmol) of the N-p-nitrophenyl intermediate was added 500 μl N-piperidinylethanol. The reaction was stirred at room temperature for approximately 5 hours, diluted with methylene chloride, washed with water/brine and dried over sodium sulfate. The crude product was purified by preparative TLC eluting with 8-10% MeOH/CH₂Cl₂. The pure product was collected, stirred with solvent, filtered, and concentrated. The sample was dried at 80° C. under high vacuum. ¹H NMR (DMSO-d₆) δ 9.80 (s, 1H), 8.77 (s, 1H), 8.36 (s, 1H), 8.10 (s, 1H), 7.72 (d, 1H), 7.50 (d, 1H), 5.20 (m, 1H), 4.78 (s, 2H), 4.19 (m, 2H), 3.86 (s, 3H), 2.78 (m, 2H), 2.41 (m, 4H), 1.59 (d, 6H), 1.40 (m, 10H). MS m/e541 (M+1). Example 67. The compound was prepared by the method described for Example 68 using the N-p-nitrophenyl intermediate and N-pyrrolidinylethanol. MS m/e 527 (M+1). Example 69. The compound was prepared by the method described for Example 68 using the N-p-nitrophenyl intermediate and N-pyrrolidinylethanol. MS m/e 538 (M+1). Example 70. Step 1: O-Nitrophenylcarbonate intermediate: A mixture of the phenol intermediate I-33-1 (192 mg, 0.525 mmol) and p-nitrophenyl carbonate (314 mg, 1.03 mmol) in DMF (4 mL) was heated to 100° C. for 20 h. Solvent was removed by rotary evaporation and the residue was extracted into CH₂Cl₂ and washed with aqueous NaHCO₃. The organic layer was dried over MgSO₄, filtered, and evaporated. The resulting residue was purified by column chromatography (silica gel, 3% MeOH in CH₂Cl₂) to afford the carbonate intermediate (156 mg, 56%). ¹H NMR (CDCl₃) δ 8.86 (s, 1H), 8.34 (d, 2H, J=9.1), 7.69 (d, 1H, J=2.1), 7.53 (d, 2H, J=9.1), 7.49, (d, 1H, J=8.8), 7.41, (d, 1H, J=8.8), 6.01 (s, 1H), 4.84 (s, 2H), 4.62 (q, 2H, J=7.1), 3.96 (s, 3H), 3.55 (t, 2H, 8.0), 3.01 (t, 2H, J=8.0), 1.55 (t, 3H, J=7.1). MS m/e 538 (M+H).

Step 2: A suspension of the carbonate intermediate (52 mg, 97 umol) in THF (2 mL) was treated with pyrrolidine (20 uL, 227 umol). The mixture was warmed to 40° C. for 2 h. Solvent was removed by rotary evaporation, and the residue was extracted into CH₂Cl₂ and washed with dilute aqueous NaOH. The organic layer was dried over MgSO₄, filtered, and evaporated. The resulting residue was purified by triturating with water (2×1 mL) and ether (2×1 mL). ¹H NMR (CDCl₃, δ) 8.86 (s, 1H), 7.55 (d, 1H, J=2.1), 7.40, (d, 1H, J=8.8), 7.26, (d, 1H, J=8.8), 6.01 (s, 1H), 4.78 (s, 2H), 4.57 (q, 2H, J=7.1), 3.95 (s, 3H), 3.65 (t, 2H, 7.0), 3.55-3.45 (m, 4H), 2.99 (t, 2H, J=7.0), 2.02-1.96 (m, 4H), 1.53 (t, 3H, J=7.1). MS m/e 470 (M+H).

Example 71. MS m/e 498 (M+H). Example 72. MS m/e 484 (M+H). Example 73. MS m/e 555 (M+H).

Example 74. To 20 mg (0.052 mmol) of the amine intermediate I-29-1 in 2 mL CH₂Cl₂/12.6 μl pyridine was added 28 mg (0.156 mmol, 3 eq.) nicotinoyl chloride. The reaction was heated to 49° C. for 1 hr, cooled to room temperature, concentrated, stirred with ether, and the solid was filtered off. The solid was taken up in CH₂Cl₂/MeOH and purified on preparative TLC eluting with 10% MeOH/CH₂Cl₂. The pure product was collected and dried at 80° C. under high vacuum. ¹H NMR (DMSO-d₆) 10.53 (s, 1H), 9.18 (s, 1H), 8.79 (s, 2H), 8.40 (m, 3H), 7.83 (s, 2H), 7.6 (m, 1H), 5.25 (m, 1H), 4.74 (s, 2H), 3.87 (s, 3H), 3.41 (m, 2H), 2.80 (m, 2H), 1.61 (d, 6H). MS m/e 491 (M+1). Examples 75-82 were prepared by the method described for Example 74 using the appropriate amine intermediate I-29 and acid chloride.

Example 75. MS m/e 496 (M+H). Example 76. MS m/e 480 (M+H). Example 77. MS m/e 491 (M+H). Example 78. MS m/e 491 (M+H). Example 79. MS m/e 510 (M+H). Example 80. MS m/e 494 (M+H). Example 81. MS m/e 481 (M+H). Example 82. MS m/e 495 (M+H).

Example 83. The compound was prepared using the N-sec-butyl intermediate I-36 and 2-thiophene carbonyl chloride by the general procedure described for Example 25. MS m/e 495 (M+H). Example 84. The compound was prepared using the N-sec-butyl indazole intermediate I-36 and 2-furoyl chloride by the general procedure described for Example 25. MS m/e 479 (M+H). Example 85. The compound was prepared using the intermediate I-39 by the general procedure described for Example 13. MS m/e 479 (M+H).

General Procedure A for Examples 136-140.

A solution of diol intermediate I in the appropriate alcohol (0.05 M) in a sealable glass reaction tube was added camphorsulfonic acid (1.1 equiv.). The reaction tube was flushed with nitrogen and sealed. The reaction mixture was heated to 80° C. for 2-26 h and monitored for loss of starting material by HPLC. Upon completion of the reaction the mixture was cooled to room temperature and poured into ether. The precipitate that formed was collected by filtration and purified by flash chromatography or preparative TLC on silica gel using ethyl acetate or a mixture ethyl acetate and hexane to yield the pure products. The following Examples were prepared. Example 136. Tan solid (58% yield). ¹H NMR (CDCl₃, 300 MHz): δ 2.03 (m, 2H), 2.13 (m, 2H), 2.40 (m, 2H), 3.56 (m, 4H), 3.72 (m, 4H), 4.37 (s, 2H), 4.71 (s, 4H), 4.89 (s, 2H), 6.12 (s, 1H), 7.34-7.62 (6H, m), 7.99 (s, 1H), 9.53 (d, 1H); MS (ESI): m/e 510 (M+1)⁺; Example 137. (71% yield). ¹H NMR (CDCl₃, 300 MHz): δ 1.97 (t, 2H), 3.61 (t, 2H), 3.79 (m, 4H), 4.14 (s, 2H), 4.41 (m, 4H), 4.62 (s, 2H), 4.76 (s, 2H), 6.10 (s, 1H), 7.28-7.57 (m, 11H), 7.68 (s, 1H), 9.47 (d, 1H); MS (ESI): m/e 533 (M+1)⁺; 555 (M+Na)⁺. Example 138. (19% yield). ¹H NMR (CDCl₃, 300 MHz): δ 1.66 (m, 1H), 2.01-2.22 (m, 3H), 2.67 (m, 1H), 3.51 (m, 2H), 3.74 (m, 4H), 3.88 (m, 2H), 4.38 (s, 2H), 4.71 (s, 2H), 4.72 (m, 2H), 4.90 (s, 2H), 6.07 (s, 1H), 7.36 (t, 1H), 7.44-7.68 (m, 5H), 7.80 (s, 1H), 9.53 (d, 1H); MS (ESI): m/e 483 (M+1)⁺; Example 139. (21.2 mg) ¹H NMR (CDCl₃, 300 MHz): δ 1.95 (m, 2H), 2.04 (s, 3H), 2.68 (t, 2H), 3.49 (m, 2H), 3.64 (t, 2H), 4.52 (s, 2H), 4.66 (s, 2H), 4.73 (m, 2H), 4.90 (s, 2H), 7.27-7.43 (m, 2H), 7.48 (d, 1H), 7.63 (d, 1H), 7.69 (d, 1H), 7.94 (s, 1H), 8.55 (s, 1H), 9.46 (d, 1H); MS (ESI): m/e 473 (M+1)⁺; Example 140. off-white solid (25% yield). ¹H NMR (CDCl₃, 300 MHz): δ 1.93 (m, 2H), 3.22 (s, 3H), 3.46 (m, 4H), 3.58 (m, 2H), 4.49 (s, 2H), 4.64 (s, 2H), 4.70 (m, 2H), 4.78 (m, 1H), 4.87 (s, 2H), 7.23-7.43 (m, 2H), 7.47 (d, 1H), 7.62 (d, 1H), 7.70 (d, 1H), 7.89 (s, 1H), 8.54 (s, 1H), 9.46 (d, 1H);

General Procedure B Examples 141-144.

In a sealed reaction tube, a suspension of the diol intermediate I (1 equivalent) in either the appropriate alcohol or methylene chloride or chloroform containing the appropriate alcohol, at room temperature was added trifluoroacetic anhydride (1-2 equiv.) slowly. The tube was flushed with nitrogen and sealed tightly. The mixture was stirred at room temperature for 1-2 hours then heated to 80° C. for 2-60 h and monitored for disappearance of starting material by HPLC. Upon completion the reaction was allowed to cool to room temperature, concentrated and worked up by both triturating the residue with ether and collecting the resulting precipitate by filtration, or extraction of the product from the reaction mixture with a suitable organic solvent. The solid product was purified by triturating with ether or flash chromatography on silica gel using ethyl acetate or a mixture of ethyl acetate and hexane. The following Examples were prepared. Example 141. Light yellow solid (17% yield). ¹H NMR (DMSO-d6, 300 MHz): δ 1.93 (m, 2H), 3.45 (m, 6H), 3.58 (s, 4H), 4.53 (s, 2H), 4.56 (m, 1H), 4.65 (s, 2H), 4.74 (m, 3H), 4.91 (s, 2H), 7.33-7.39 (m, 2H), 7.48 (d, 1H), 7.63-7.71 (m, 2H), 7.92 (s, 1H), 8.55 (s, 1H), 9.47 (d, 1H); MS (ESI): m/e 487 (M+1)⁺, 509 (M+Na)⁺. Example 142. Pale yellow solid (26% yield). ¹H NMR (CDCl₃, 300 MHz): δ 1.33 (d, 3H), 2.11 (m, 2H), 3.19 (m, 1H), 3.56-3.77 (m, 4H), 4.30 (s, 2H), 4.65 (m, 2H), 4.68 (s, 2H), 4.74 (s, 2H), 6.07 (s, 1H), 7.20-7.50 (m, 1H), 7.56 (d, 1H), 7.69 (s, 1H), 9.48 (d, 1H); MS (ESI): m/e 517 (M+1)⁺, 539 (M+Na)⁺. Example 143. Orange residue (21% yield). ¹H NMR (DMSO-d6, 300 MHz): δ 1.93 (m, 2H), 2.30 (m, 4H), 2.50 (m, 2H), 3.48 (m, 6H), 3.94 (s, 2H), 4.52 (s, 2H), 4.72 (m, 4H), 4.88 (s, 2H), 7.33-7.43 (m, 2H), 7.48 (d, 1H), 7.66 (m, 2H), 7.88 (s, 1H), 8.57 (s, 1H), 9.46 (d, 1H); MS (ESI): m/e 528 (M+1)⁺. Example 144. Light orange solid (9% yield). ¹H NMR (DMSO-d6, 300 MHz): δ 1.29 (m, 2H), 1.39 (m, 4H), 1.95 (m, 2H), 2.26 (m, 4H), 2.51 (m, 2H), 3.47 (m, 2H), 3.94 (s, 2H), 4.52 (s, 2H), 4.72 (m, 4H), 4.88 (s, 2H), 7.33-7.39 (m, 2H), 7.47 (d, 1H), 7.66 (m, 2H), 7.88 (s, 1H), 8.57 (s, 1H), 9.46 (d, 1H); MS (ESI): m/e 526 (M+1)⁺. General procedure C for Examples 145-156: To a well-stirred suspension of the CH₂OH intermediates I, II, or III in 7 mL of methylene chloride were added sequentially trifluoroacetic anhydride (5 equivalents) and N-methyl morpholine (5 eq) at 5° C. and under argon atmosphere. The resulted suspension was stirred at room temperature for 3 hours and the low boiling solvents were removed under vacuum. A stirred solution of this tritrifluoroacetate intermediate in an appropriate alcohol was heated to 80° C. for 6-48 hours in an oil bath. Gradually, the heterogeneous reaction mixture became homogeneous. When no starting material was observed by HPLC the reaction mixture was worked up by removing the solvent in vacuo. The residues was purified by either triturating with water or ether or alternatively, flash chromatography or preparative plate chromatography on silica gel using ethyl acetate or an ethyl acetate/hexane mixture. Example 145. (12.6 mg, 44% yield). ¹H NMR (CDCl₃, 300 MHz): δ 2.18 (m, 2H), 2.09 (m, 1H), 3.73 (m, 4H), 4.42 (s, 2H), 4.76 (s, 2H), 4.80 (m, 2H), 4.98 (s, 2H), 6.12 (s, 1H), 7.23 (m, 2H), 7.43 (m, 2H), 7.48 (m, 2H), 7.68 (m, 1H), 7.88 (s, 1H), 9.56 (d, 1H); MS (ESI): m/e 451 (M+1)⁺, 473 (M+Na)⁺. Example 146. Light orange solid (35.3 mg, 74% yield). ¹H NMR (DMSO-d6, 300 MHz): δ 1.23 (m, 2H), 1.50 (m, 4H), 1.67 (m, 2H), 1.93 (m, 2H), 2.13 (m, 1H), 3.35 (m, 2H), 3.48 (m, 2H), 4.52 (s, 2H), 4.62 (s, 2H), 4.72 (m, 2H), 4.89 (s, 2H), 7.33-7.39 (m, 2H), 7.47 (d, 1H), 7.62-7.70 (m, 2H), 7.90 (d, 1H), 8.53 (s, 1H), 9.47 (d, 1H); MS (ESI): m/e 481 (M+1)⁺. Example 147. Pale yellow solid (31 mg, 54% yield). ¹H NMR (DMSO-d6, 300 MHz): δ 0.05 (m, 2H), 0.49 (m, 2H), 1.06 (m, 1H), 2.79 (m, 2H), 3.82 (m, 5H), 4.65 (m, 4H), 4.79 (s, 2H), 4.97 (t, 1H), 6.80 (d, 1H), 6.89 (s, 1H), 7.46 (d, 1H), 7.65 (d, 1H), 7.87 (s, 1H), 7.89 (d, 1H), 8.36 (s, 1H); MS (ESI): m/e 483 (M+1)⁺. Example 148. Pale orange solid (12.4 mg, 24% yield). ¹H NMR (DMSO-d6, 300 MHz): δ 2.79 (m, 2H), 3.12 (t, 2H), 3.30 (m, 2H), 3.72 (t, 2H), 3.82 (m, 5H), 4.65 (m, 2H), 4.70 (s, 2H), 4.76 (s, 2H), 4.97 (t, 2H), 6.79 (d, 1H), 6.90 (s, 1H), 6.93 (s, 1H), 6.97 (d, 2H), 7.35 (s, 1H), 7.46 (d, 1H), 7.65 (d, 1H), 7.89 (d, 2H), 8.39 (s, 1H); MS (ESI): m/e 539 (M+1)⁺. Example 149. Pale yellow solid (42.6 mg, 57% yield). ¹H NMR (DMSO-d6, 300 MHz): δ 2.55 (m, 2H), 2.80 (t, 2H), 3.86 (m, 4H), 3.98 (s, 2H), 4.61 (s, 1H), 4.73 (t, 1H), 4.80 (s, 2H), 4.98 (t, 1H), 6.78 (d, 1H), 6.89 (s, 1H), 7.50 (d, 1H), 7.68 (d, 1H), 7.88 (s, 1H), 7.90 (d, 1H), 8.38 (s, 1H); MS (ESI): m/e 489 (M+1)⁺, 512 (M+Na)⁺. Example 150. Yellow-tan solid (77% yield). ¹H NMR (DMSO-d6, 300 MHz): δ 0.2 (m, 2H), 0.47 (m, 2H), 1.05 (m, 1H), 1.94 (m, 2H), 3.49 (m, 2H), 4.53 (s, 2H), 4.64 (s, 2H), 4.75 (m, 2H), 4.92 (s, 2H), 7.32-7.45 (m, 2H), 7.49 (d, 1H), 7.62-7.77 (m, 2H), 7.93 (s, 1H), 8.64 (s, 1H), 9.47 (d, 1H); MS (ESI): m/e 453 (M+1)⁺. Example 151. Tan solid (32% yield). ¹H NMR (DMSO-d6, 300 MHz): δ 1.97 (m, 4H), 3.51 (s, 2H), 3.73 (t, 2H), 4.56 (s, 2H), 4.71 (s, 2H), 4.77 (m, 2H), 4.91 (s, 2H), 6.98 (m, 2H), 7.35-7.43 (m, 3H), 7.52 (d, 1H), 7.70 (m, 2H), 7.96 (s, 1H), 8.60 (s, 1H), 9.51 (d, 1H); MS (ESI): m/e 509 (M+1)⁺. Example 152. Yellow solid (69%). ¹H NMR (DMSO-d6, 300 MHz): δ 1.62-2.00 (m, 8H), 2.54 (m, 1H), 3.38-3.50 (m, 4H), 4.51 (s, 2H), 4.61 (s, 2H), 4.72 (m, 2H), 4.89 (s, 2H), 7.3-7.41 (m, 2H), 7.46 (d, 1H), 7.62-7.70 (m, 2H), 7.89 (s, 1H), 8.53 (s, 1H), 9.47 (d, 1H); MS (ESI): m/e 467 (M+1)⁺.

Example 153. (80%) ¹H NMR (DMSO-d6, 300 MHz): δ 1.55 (m, 3H), 3.4-3.8 (m, 6H), 4.14 (m, 2H), 4.66 (s, 2H), 4.91 (s, 2H), 7.29-7.73 (m, 5H), 7.98 (s, 1H), 8.55 (s, 1H), 9.39 (d, 1H), 11.94 (s, 1H).

Example 154. (150 mg, 89% yield). ¹H NMR (DMSO-d6, 300 MHz): δ 1.80 (m, 4H), 3.58-3.78 (m, 4H), 4.02 (m, 1H), 4.18 (s, 2H), 4.69 (s, 2H), 4.93 (s, 2H), 7.34-7.49 (m, 2H), 7.56 (t, 2H), 7.70 (d, 1H), 7.94 (s, 1H), 8.53 (s, 1H), 9.39 (d, 1H), 11.92 (s, 1H). Example 155. ¹H NMR (DMSO-d6, 300 MHz): δ 3.24 (s, 3H), 3.47 (m, 2H), 3.58 (m, 2H), 4.13 (m, 2H), 4.62 (s, 2H), 4.89 (s, 2H), 7.30-7.42 (m, 3H), 7.56 (d, 1H), 7.64 (d, 1H), 7.91 (s, 1H), 8.51 (s, 1H), 9.35 (d, 1H), 11.89 (s, 1H); MS (ESI): m/e 421 (M+Na)⁺. Example 156. (10%). MS m/e 429 (M+1); ¹H-NMR 6 (DMSO-d₆) 11.79 (s, 1H), 9.20 (d, 1H), 8.44 (s, 1H), 7.87 (s, 1H), 7.52 (d, 1H), 7.38 (d, 1H), 7.24 (s, 1H), 6.96 (d, 1H), 4.86 (s, 2H), 4.61 (s, 2H), 4.08 (s, 2H), 3.81 (s, 4H), 3.58 (d, 1H), 3.52 (d, 1H). Example 157. A stirred solution of Example 155 (370 mg, 0.93 mmol) in DMF (20 mL) was placed under vacuum and DMF (10 mL) was removed by distillation. The mixture was cooled to room temperature and sodium hydride (45 mg, 0.93 mmol) was added and stirred for 30 min. Glycidol mesylate (170 mg, 1.1 mmol) was added and the reaction mixture heated to 60° C. After 18 h, the mixture was cooled to room temperature, filtered, and concentrated in vacuo. The solid was triturated with methanol, filtered, and purified by flash chromatography on silica gel using hexane/ethyl acetate (1:1) then methanol/ethyl acetate (10%) to give product (90 mg, 22% yield). MS (ESI): m/e 455 (M+1)⁺. Example 158. To a stirred solution of Example 157 (80 mg, 0.18 mmol) in THF (10 mL) was added super hydride (724 uL, 0.72 mmol) dropwise at 0° C. The reaction mixture was warmed to room temperature and stirred for 2 h. The reaction solvent was removed in vacuo and 1N HCl was added. The mixture was stirred, filtered, triturated with methanol and collected by filtration. The solid was purified by flash chromatography using hexane/ethyl acetate (3:1) to ethyl acetate (100%). Further purification of the solid involved crystallization from ethyl acetate/methanol followed by acetonitrile to give product (40 mg, 50% yield). MS (ESI): m/e 457 (M+1)⁺. Example 159. Using the general procedure for Example 158, a suspension of ester (1.45 g, 2.27 mmol) in methylene chloride (30 mL) was cooled to 0° C. and DIBAL-H (5.7 mL, 5.7 mmol) was added dropwise. The reaction mixture was warmed to room temperature for 2 h then quenched with methanol (20 mL). HCl (1N, 20 mL) was added and the reaction solvent removed in vacuo to give the product as a yellow solid (1.2 g, 78% yield). Alcohol (522 mg, 0.92 mmol), trifluoroacetic anhydride (130 uL), methoxyethanol (4 mL) and methylene chloride (6 mL) were combined and heated to 70° C. for 18 h. Additional trifluoroacetic anhydride (100 ul) was added and heated for 24 h. The reaction solvent was removed in vacuo and the solid triturated with methanol to give the product as a yellow solid (325 mg, 91% yield). A solution of the previous product (100 mg, 0.16 mmol) in methylene chloride (3 mL)/methanol (1 mL)/hexamethylphosphoramide (500 uL) was added cesium carbonate (212 mg, 0.65 mmol). The reaction mixture was stirred at room temperature for 20 min. and acetaldehyde was added and the mixture was stirred for 18 h. Additional cesium carbonate and acetaldehyde was added and the mixture stirred for 3 h. The mixture was diluted with methylene chloride, washed with water and brine, and purified by flash chromatography on silica gel using ethyl acetate/methylene chloride (10%) to give product (45 mg, 43% yield). The product (45 mg) was dissolved in methylene chloride (4 mL) and ethanethiol followed by trifluoroacetic anhydride was added at 0° C. After 1.5 h, the reaction solvent was removed in vacuo and the material purified by flash chromatography on silica gel using methanol/ethyl acetate (10%) to give product (11 mg, 37% yield). MS (ESI): m/e 443 (M+1)⁺. Example 160. To the tritrifluoroacetate (27 mg) prepared using general method C was added 1 mL 2-methoxyethanol and the reaction was heated to 90° C. in a sealed tube for 2 hours. The reaction was concentrated, the product triturated with ether, collected and dried. ¹HNMR (400 MHz, DMSO) δ 8.38 (1H, s), 7.89 (2H, d), 7.66 (1H, d), 7.47 (1H, d), 6.90 (1H, s), 6.81 (1H, d), 4.98 (2H, m), 4.79 (1H, s), 4.67 (3H, m), 3.96 (6H, m), 3.82 ((2H, m), 3.62 (2H, m), 3.50 (3H, m), 3.10 (2H, m), 2.79 (2H, m) MS m/e 487 (M+1)+ Example 161. To the amino methyl intermediate XII CEP7668 (30 mg, 0.066 mmol) in THF (1 mL) was added TEA (9 μl, 0.066 mmol), followed by benzyl chloroformate (9 μl, 0.066 mmol) and the reaction mixture was stirred at room temperature overnight. Additional TEA and benzyl chloroformate were added while heating to 50° C. The reaction was concentrated, dissolved in ethyl acetated, washed with sodium bicarbonate, brine and dried over magnesium sulfate. The drying agent was removed by filtration and the solvent evaporated. The product was purified by preparative TLC using 2% methanol/methylene chloride. The product was collected and dried at 80° C. overnight. MS m/e=590 (m+1)⁺. Example 162. This compound was prepared using the general procedure as Example 161 starting with 3-aminomethyl-N-ethanol intermediate XIII MS m/e 540 (m+1)⁺. Example 163. This compound was prepared from XII intermediate and ethyl isocyanato acetate. MS m/e 513 (m+1)⁺. Example 164. Phenol intermediate X CEP 7143 (15 mg, 0.037 mmol), bromoethylethylether (66 mg., 0.57 mmol) (added in 3 portions), acetone (7 mL) and ION sodium hydroxide (4 mL.) were stirred at room temperature for 7 hr. The acetone was evaporated and the solution acidified to pH 3. The solid was collected, triturated with hexane and then extracted with methylene chloride. The extract was evaporated to give the product (0.004 g.) (23%) MS m/e 471 (M+1); ¹H-NMR (DMSO-d₆) 11.40 (s, 1H), 8.33 (s, 1H), 8.16 (d, 1H), 7.47 (d, 2H), 7.11 (d, 1H), 6.86 (s, 1H), 6.78 (d, 1H), 4.80 (s, 2H), 4.69 (m, 1H), 4.24 (m, 2H), 3.85 (m, 2H), 3.65 (t, 2H), 2.98 (t, 2H), 2.81 (t, 2H), 1.30 (d, 6H), 1.23 (t, 3H). Example 165. A mixture of intermediate X (16.5 mg, 0.041 mmol) and cesium carbonate (88 mg, 1.1 eq) in 2.0 mL of CH₃CN was added cyclopentyl bromide (8.0 ul, 2.0 eq.) under N₂. After stirred at 70° C. for 24 hours, the mixture was diluted with CH₂Cl₂ and filtered through celite and concentrated. Purification by preparation TLC plate with CH₂Cl₂/MeOH afforded the product. MS m/e 533 (M+1). Example 166. Prepared by hydrogenation of Example 1C in DMF using Pd(OH)₂ and a drop of HCl. MS m/e 443 (M+1) Example 1C. A suspension of sodium hydride (2.44 mg, 1.22 eq.) in 0.5 mL of THF was stirred under N₂ as phenol intermediate X (3-hydroxy-10-isopropoxy-12,13-dihydro-6H,7H,14H-nephthyl(3,4-a)pyrrolo[3,3-a]pyrrolo[3,4-c]carbazole-7(7H)one) (20.6 mg, 0.05 mmol) in 2.0 mL of THF:DMF (1:1) was added dropwise. After 10 minutes of stirring, 2-bromopyrimidine (8.9 mg, 1.12 eq.) in 0.5 mL of THF was added. The mixture was stirred at 60° C. for 14 hours. Then, the mixture was cooled to room temperature, diluted with CH₂Cl₂/MeOH, filtered through celite and concentrated. Purification was achieved by preparation TLC plate with CH₂Cl₂/MeOH (9:1) to afford the product (4.0 mg, 17%) (MS: 477 m/z (M+H)⁺).

General Methods for Synthesis of Examples 167-191.

Method A: A mixture of hydroxyl intermediate (0.2 mmol), potassium iodide (3.3 mg, 0.1 eq.), N-tetrabutylammonium bromide (0.1 eq), cesium hydroxide hydrate (3 eq) and 20 mg of 4 Å sieves in 2.0 mL of CH₃CN was added the appropriate alkyl bromide or iodide under N₂. After the mixture was stirred at 50° C. for 14-72 hours, the reaction mixture was diluted with CH₃CN and filtered through celite and concentrated. The residue was diluted with CH₂Cl₂ and washed with water and dried over magnesium sulfate. Purification by preparation TLC plate or crystallization with CH₂Cl₂/MeOH afforded the desired products. Method B: A mixture of hydroxy intermediate (0.2 mmol) and cesium carbonate (3 eq) in 2.0 mL of CH₃CN was added the appropriate alkyl bromide or iodide under N₂. After the mixture was stirred at 50-80° C. for 14-72 hours, the reaction mixture was diluted with CH₃CN and filtered through celite and concentrated. The residue was diluted with CH₂Cl₂ and washed with water and dried over magnesium sulfate. Purification by preparation TLC plate or crystallization with CH₂Cl₂/MeOH afforded the desired product. Method C: A mixture of hydroxyl intermediate (0.1 mmol), sodium hydroxide (1.5 eq.) and N-tetrabutylammonium bromide (0.1 eq) in 0.5 mL of CH₂Cl₂ and 0.5 mL of water was added the appropriate alkyl bromide under N₂. After the mixture was stirred at room temperature for 14-72 hours, the reaction mixture was concentrated and the residue was washed with water and dried over magnesium sulfate. Purification by preparation TLC plate with CH₂Cl₂/MeOH or crystallization afforded the desired product. Example 167. A mixture of intermediate phenol XV (19.5 mg, 0.05 mmol), potassium carbonate (34.6 mg, 5 eq.) and potassium iodide (8.7 mg, 1.05 eq) in 1.5 mL of acetone and 0.25 mL of DMF was added the benzyl 2-bromoethyl ether (8.3 uL, 1.05 eq.) under N₂. After the mixture was stirred at reflux for 24 hours, the reaction mixture was diluted with EtOAc and washed with water, saturated NaCl solution and dried over magnesium sulfate. Purification by preparation TLC plate with 5% of MeOH/CH₂Cl₂ afforded the desired product (10 mg, 39%). MS m/e 519 m/z (M+1)⁺. Example 168. The product was obtained by first forming compound 1681 by Method A, using phenol XV and cyclopentyl bromide; 14 hr; prep. TLC (10% MeOH in CH₂Cl₂); yield 10%; MS: m/e 453 m/z (M+1)⁺. A mixture of compound 168I 110 (5 mg, 0.01 mmol), 10% Pd(OH)₂/C and 0.1 mL of conc. HCl in 1.0 mL of EtOH was hydrogenated under 42 psi H₂ on a Parr apparatus for 24 hours at room temperature. Filtration and concentration afforded 2.2 mg (27%) of the title compound. MS: m/e 451 m/z (M+1)⁺. Example 169. Method C from phenol XV and epibromohydrin; 22 hour, preparative TLC (10% MeOH in CH₂Cl₂); yield 30%; MS: m/e 463 m/z (M+Na)⁺. Example 170. Method C; phenol XV and 1-bromo-2-(2-methoxyethoxy)ethane, 14 hr; prep. TLC (10% MeOH in CH₂Cl₂); yield 11%; MS: 509 m/z (M+Na)⁺. Example 171. Method B; phenol XV and 2-(2-bromoethyl)-1,3-dioxane, 14 hr reflux; prep. TLC (10% MeOH in CH₂Cl₂); yield 54%; MS: 521 m/z (M+1)⁺. Example 172. Method A; phenol XV and (bromomethyl)cyclopropane, 14 hr; prep. TLC (10% MeOH in CH₂Cl₂); yield 17%; MS: m/e 439 m/z (M+1)⁺. Example 173. Method A; phenol XV and 2-bromomethyl-1,3-dioxolane; 64 hr; prep. TLC (10% MeOH in CH₂Cl₂); yield 15%; MS: 471 m/z (M+1)⁺. Example 174. Method B; phenol XV and N-(3-bromopropyl)phthalimide; 48 hr at 80° C.; prep. TLC (10% MeOH in CH₂Cl₂); yield 17%; MS: m/e 494 m/z (M+Na)⁺. Example 175. Method B; phenol XV and ethyl 2-bromopropionate; 14 hr at 80° C.; prep. TLC (10% MeOH in CH₂Cl₂); yield 9%; MS: m/e 507 m/z (M+Na)⁺. Example 176. Method A; phenol XV and methyl 4-chloro-3-methoxy-(E)-2-butenoate; 40 hr at 80° C.; prep. TLC (10% MeOH in CH₂Cl₂); yield 21%; MS: m/e 535 m/z (M+Na)⁺. Example 177. Method A; phenol XV and 1-bromopinacolone; 14 hr at 60° C.; prep. TLC (10% MeOH in CH₂Cl₂); yield 29%; MS: m/e 505 m/z (M+Na)⁺. Example 178. Method A; 20 hr at 50° C.; prep. TLC (10% MeOH in CH₂Cl₂); yield (5%); MS: 449 m/z (M+Na)⁺. Example 179. Method B. (38%) MS m/e 471 (M+1); ¹H-NMR (DMSO-d₆) 8.37 (s, 1H), 7.90 (d, 1H), 7.83 (d, 1H), 7.64 (d, 1H), 7.46 (t, 1H), 7.25 (t, 1H), 6.86 (s, 1H), 6.75 (d 1H), 4.97 (t, 1H), 4.77 (d, 4H), 4.60 (t, 2H), 4.16 (m, 2H), 3.78 (m, 2H), 2.45 (s, 2H), 1.21 (t, 3H). Example 180. Method B (19%) MS m/e 476 (M+1); ¹H-NMR (DMSO-d₆) 8.56 (s, 1H), 8.36 (s, 1H), 7.92 (d, 1H), 7.85 (m, 2H), 7.66 (d, 1H), 7.51 (d, 2H), 7.48 (t, 1H), 7.33 (m, 1H), 7.27 (t, 1H), 6.97 (s, 1H), 6.85 (d, 1H), 5.20 (s, 1H), 4.97 (m, 1H), 4.75 (s, 2H), 4.62 (m, 2H). Example 181. Method B (43%) MS m/e 443 (M+1); ¹H-NMR (DMSO-d₆) 8.36 (s, 1H), 7.90 (d, 1 h), 7.83 (d, 1H), 7.64 (d, 1H), 7.45 (t, 1H), 7.24 (t, 1H), 6.87 (s, 1H), 6.77 (d, 1H), 4.97 (t, 1H), 4.75 (s, 2H), 4.61 (s, 2H), 4.11 (s, 2H), 3.77 (d, 2H), 3.65 (s, 2H), 2.73 (s, 2H). Example 182. Method B (63%) M S m/e 452 (M+1); ¹H-NMR (DMSO-d₆) 8.36 (s, 1H), 7.90 (d, 1H), 7.83 (d, 1H), 7.65 (d, 1H), 7.46 (t, 1H), 7.24 (t, 1H), 6.88 (s, 1H), 6.78 (d, 1H), 4.96 (t, 1H), 4.75 (s, 2H), 4.60 (m, 2H), 4.07 (t, 2H), 3.78 (m, 2H), 2.74 (m, 2H), 2.64 (t, 2H), 2.02 (m, 2H). Example 183. Method B (72%) M S m/e 480 (M+1); ¹H-NMR (DMSO-d₆) 8.35 (s, 1H), 7.91 (d, 1H), 7.82 (d, 1H), 7.64 (d, 1H), 6.85 (t, 1H), 6.76 (t, 1H), 4.96 (t, 1H), 4.75 (s, 2H), 4.60 (s, 2H), 4.00 (t, 2H), 3.77 (d, 2H), 2.73 (m, 2H), 1.73 (t, 3H), 1.52 (m, 8H), Example 184. Method B (67%) MS m/e 456 (M+1); ¹H-NMR (DMSO-d₆) 8.35 (s, 1H), 7.91 (d, 1H), 7.83 (d, 1H), 7.64 (d, 1H), 7.46 (t, 1H), 7.24 (t, 1H), 6.87 (s, 1H), 6.75 (d, 1H), 4.96 (t, 1H), 4.75 (s, 2H), 4.60 (t, 2H), 4.10 (s, 2H), 3.78 (m, 2H), 3.70 (s, 2H), 3.00 (m, 2H), 2.70 (m, 2H), 1.11 (T, 3 h). Example 185. Method B (88%) M S m/e 466 (M+1); ¹H-NMR (DMSO-d₆) 8.35 (s, 1H), 7.91 (d, 1H), 7.83 (d, 1H), 7.64 (d, 1H), 7.46 (t, 1H), 7.24 (t, 1H), 6.86 (s, 1H), 6.77 (d, 1H), 4.96 (t, 1H), 4.75 (s, 2H), 4.61 (m, 2H), 4.03 (t, 2H), 3.78 (m, 2H), 2.74 (m, 2H), 2.54), (t, 2H), 1.73 (m, 6H). Example 186. Method B. MS m/e 516 (M+1); ¹H-NMR (DMSO-d₆) 8.35 (s, 1H), 7.90 (d, 1H), 7.81 (d, 1H), 7.64 (d, 1H), 7.46 (t, 1H), 7.24 (t, 1H), 6.85 (s, 1H), 6.76 (d, 1H), 4.96 (t, 1H), 4.75 (s, 2H), 4.60 (t, 2H), 3.99 (t, 2H), 3.78 (m, 2H), 2.74 (m, 2H), 1.71 (m, 2H), 1.56 (t, 4H), 1.42 (m, 6H).

Example 187. Method B. MS m/e 438 (M+1).

Example 188. This compound was formed from Example 185B, ethanol and gaseous hydrogen chloride (85%) MS m/e 512 (M+1); ¹H-NMR (DMSO-d₆) 8.35 (s, 1H), 7.91 (s, 1H), 7.83 (d, 1H), 7.65 (d, 1H), 7.46 (t, 1H), 7.26 (t, 1H), 6.85 (s, 1H), 6.76 (d, 1H), 4.75 (s, 1H), 4.61 (m, 2H), 4.35 (m, 2H), 4.00 (m, 2H), 3.79 (m, 2H), 2.73 (m, 2H), 2.66 (m, 2H), 1.77 (m, 6H), 1.33 (t, 3H). Example 189. Example 188 was refluxed in ethanol and concentrated hydrochloric acid for 18 hr. The solution was made basic with sodium hydroxide to pH 10 and refluxed 4 hours. The solution was acidified to precipitate the product. MS m/e 485 (M+1); ¹H-NMR (DMSO-d₆) 12.00 (s, 1H), 7.91 (d, 1H), 7.82 (d, 1H), 7.65 (d, 1H), 7.45 (t, 1H), 7.24 (m, 2H), 6.85 (s, 1H), 6.76 (d, 2H), 4.96 (t, 1H), 4.75 (s, 2H), 4.61 (m, 2H), 3.98 (t, 1H), 3.77 (m, 2H), 2.73 (m, 2H), 2.23 (m, 4H), 1.71 (m, 8H). Example 190. The product was obtained from a reaction of Example 186 with ethanol and gaseous hydrogen chloride (45%) MS m/e 512 (M+1); ¹H-NMR (DMSO-d₆) 8.37 (s, 1H), 7.91 (d, 1H), 7.82 (d, 1H), 7.65 (d, 1H), 7.47 (t, 1H), 7.23 (m, 2H), 6.86 (s, 1H), 6.77 (d, 2H), 6.67 (s, 1H), 4.99 (t, 1H), 4.76 (s, 2H), 4.61 (m, 2H), 3.98 (t, 1H), 3.80 (m, 2H), 2.74 (m, 2H), 2.02 (t, 2H), 1.71 (m, 2H), 1.38 (m, 8H). Synthesis of intermediate phenol XVII CEP 5108: To aluminum trichloride (1.2 g, 9 mmol) in 12 mL anhydrous dichloroethane was added 2 mL ethanethiol followed by methoxy derivative CEP 3371 (500 mg, 1.47 mmol). The mixture was stirred at 50° C. for 48 h. The reaction was concentrated and stirred with 10 mL 1N hydrochloric acid for thirty minutes. The product was isolated by filtration and was dried in vacuo to afford 483 mg (quantitative) of a grey solid, the phenol. NMR (d₆-DMSO): 11.8 (s, 1H), 9.53 (s, 1H), 9.2 (d, 1H), 8.45 (s, 1H), 7.95 (s, 1H), 7.6 (d, 1H), 7.45 (dd, 1H), 7.25 (dd, 1H), 7.08 (s, 1H), 6.8 (dd, 1H), 4.85 (s, 2H), 4.08 (s, 2H). MS (ES+): 327 (M+1). Example 191 and Example 192. Phenol intermediate XVII (25 mg, 79 μmole), potassium carbonate (17 mg, 123 μmole), and ethyl bromoacetate (17 μL, 155 μmole) were combined in 10 mL dry acetone. A drop of N,N-dimethylformamide was and the mixture was heated at 50° C. for three days. HPLC analysis revealed the presence of two products. The two products were separated employing reverse phase C8 high performance liquid:chromatography (1:1 acetonitrile:water with 0.1% trifluoroacetic acid). The first product eluted was identified as the mono adduct Example 191B. 2 mg. NMR (d₆-DMSO): 11.7 (s, 1H), 9.25 (d, 1H), 8.5 (s, 1H), 7.95 (d, 1H), 7.60 (d, 1H), 7.45 (dd, 1H), 7.25-7.3 (m, 2H), 7.0 (dd, 1H), 4.93 (s, 2H), 4.85 (s, 2H), 4.22 (q, 2H), 4.15 (s, 2H), 1.20 (t, 3H). MS (ES+): 435 (M+Na). Retention time: 13.03 min (gradient elution 10%-95% acetonitrile:water (0.1% trifluoroacetic acid) at 1.6 mL/min on a Zorbax RX-C8 4.6 by 150 mm column). The second product eluted was identified as the bis adduct Example 192B. NMR (d₆-DMSO): 8.3 (d, 1H), 8.06 (s, 1H), 7.96 (d, 1H), 7.72 (d, 1H), 7.45 (dd, 1H), 7.27 (dd, 1H), 7.20 (br s, 1H), 6.95 (dd, 1H), 5.6 (s, 2H), 5.42 (s, 2H), 5.35 (s, 2H), 4.25 (s, 2H), 4.18 (q, 2H), 3.75 (q, 2H), 1.2 (m, 6H). 2 mg. MS (ES+): 521 (M+Na). Example 193. Prepared by the method described for Example 192 from bromoacetonitrile NMR (d₆-DMSO): 11.85 (s, 1H), 9.3 (d, 1H), 8.48 (s, 1H), 7.95 (d, 1H), 7.58 (d, 1H), 7.4 (m, 2H), 7.2 (dd, 1H), 7.1 (d, 1H), 5.2 (s, 2H), 4.85 (s, 2H), 4.18 (s, 2H). MS (ES+): 366 (M+1). Example 194. Example 192 (10 mg, 24 μmol) in 10 mL dry tetrahydrofuran was treated with lithium borohydride (0.5 mL of a 2.0 M solution in tetrahydrofuran, 1.0 mmol) and heated at 40° C. for 72 h. 1 mL water was then added and the solution was concentrated. The crude solid was taken up into 1 mL DMF and concentrated onto 600 mg silica. The silica was applied to the top of a bed of silica and medium pressure liquid chromatography was effected eluting with 4% methanol:dichloromethane to afford 3.0 mg of a tan solid. NMR (d₆-DMSO): 11.8 (s, 1H), 9.2 (d, 1H), 8.45 (s, 1H), 7.92 (d, 1H), 7.55 (d, 1H), 7.41 (dd, 1H), 7.25 (m, 2H), 6.95 (dd, 1H), 4.85 (s, 2H), 4.08 (s, 2H), 4.06 (m, 2H), 3.75 (m, 2H), 3.56 (t, 1H). MS (ES+): 371 (M+1). Example 195. This compound was prepared by the method described for Example 194 from Example 193: NMR (d₆-DMSO): 9.3 (d, 1H), 8.48 (s, 1H), 7.95 (d, 1H), 7.70 (d, 1H), 7.45 (dd, 1H), 7.28 (m, 1H), 7.22 (s, 1H), 6.95 (d, 1H), 4.9 (s, 2H), 4.7 (br s, 2H), 4.46 (s, 2H), 4.06 (br s, 2H), 3.80 (br s, 2H), 3.70 (br s, 2H), 3.52 (overlapping s, 2H). MS (ES+): 415 (M+1). Example 196. The O-allyl intermediate was prepared using allyl bromide as described for Example 194: NMR (d₆-DMSO): 11.8 (s, 1H), 9.27 (d, 1H), 8.48 (s, 1H), 7.98 (d, 1H), 7.60 (d, 1H), 7.45 (dd, 1H), 7.30 (s, 1H), 7.25 (m, 1H), 7.05 (dd, 1H), 6.10 (m, 1H), 5.4 (dd, 1H), 5.3 (dd, 1H), 4.95 (s, 2H), 4.7 (d, 2H), 4.18 (s, 2H). MS (ES+): 367 (M+1). Intermediate O-allyl (20 mg, 55 μmol), osmium tetroxide (0.1 mL of a 25 mg/mL solution in carbon tetrachloride), N-methylmorpholine-N-oxide (50 mg) were combined in 10 mL tetrahydrofuran to which was added 0.1 mL water. The mixture was stirred in the dark for 48 h. The mixture was concentrated onto 0.6 g silica and applied to a bed of silica. Medium pressure liquid chromatography eluting with 5% methanol:dichloromethane afforded 23 mg of a yellow solid. NMR (d₆ DMSO): 11.8 (s, 1H), 9.23 (d, 1H), 8.43 (s, 1H), 7.92 (d, 1H), 7.55 (d, 1H), 7.40 (dd, 1H), 7.25 (s, 1H), 7.22 (m, 1H), 6.95 (d, 1H), 4.95 (d, 1H), 4.88 (s, 2H), 7.70 (dd, 1H), 4.10 (s, 2H), 4.05 (d, 1H), 3.7-3.95 (m, 4H). MS (ES+): 401 (M+1). Example 197. Example 194 (63 mg, 153 μmol), dimethylamine (3 mL of a 40% solution in water), and ammonium chloride (100 mg) were combined in N,N-dimethylformamide and stirred at ambient temperature in a sealed tube for 5 d. The solution was concentrated onto 0.6 g silica and applied to a bed of silica. Medium pressure liquid chromatography employing a gradient from 5-10% methanol:dichloromethane afforded 60 mg of an orange solid. NMR (d₆-DMSO): 11.80 (s, 1H), 9.20 (d, 1H), 8.45 (s, 1H), 7.95 (d, 1H), 7.55 (d, 1H), 7.40 (dd, 1H), 7.2-7.28 (m, 2H), 6.93 (d, 1H), 4.90 (s, 2H), 4.82 (s, 2H), 4.05 (s, 2H), 3.0 (s, 3H), 2.83 (s, 3H). MS (ES+): m/e 434 (M+Na). Example 198. The epoxide (42 mg, 0.11 mmol), dimethylamine (3 mL of a 40% solution in water), and ammonium chloride (100 mg) were combined in 10 mL N,N-dimethylformamide and stirred in a sealed tube for 16 h. The mixture was concentrated onto 700 mg silica and applied to a bed of silica. Medium pressure liquid chromatography employing a gradient of 15-25% methanol:dichloromethane afforded approximately 5 mg of the polar desired. NMR (d₆-DMSO): 12.1 (br s, 1H), 9.55 (d, 1H), 8.45-8.52 (m, 2H), 7.72 (d, 1H), 7.65 (dd, 1H), 7.35-7.5 (m, 2H), 7.15 (d, 1H), 5.75 (s, 2H), 5.18 (s, 2H), 4.15-4.35 (m, 4H), 2.70 (m, 1H), 2.55 (s, 6H), 2.50 (m, 1H). MS (ES+): m/e 428 (M+1). Example 199. This compound was prepared by the same procedure as Example 198 using morpholine: MS (ES+): m/e 470 (M+1).

Utility

The compounds of the present invention are useful, inter alia, as therapeutic agents. Particularly, the compounds are useful for kinase inhibition, such as, for example, trk, VEGFR, PDGFR, PKC, MLK, DLK, Tie-2, FLT-3, and CDK1-6. Various compounds of the present invention show enhanced pharmaceutical properties over those disclosed in the art and improved pharmacokinetic properties in mammals. The compounds of the present invention show enhanced pharmaceutical properties over those disclosed in the art, including increased MLK and DLK dual inhibition activity, or increased VEGFR and Tie-2 dual inhibition activity, along with improved pharmacokinetic properties in mammals.

In one embodiment, the present invention provides a method for treating or preventing diseases and disorders, such as those disclosed herein, which comprises administering to a subject in need of such treatment or prevention a therapeutically effective amount of a compound of the present invention.

In an additional embodiment, the present invention provides a method for inhibiting trk kinase activity comprising providing a compound of the present invention in an amount sufficient to result in effective inhibition. Particularly, inhibition of trk implies utility in, for example, diseases of the prostate such as prostate cancer and benign prostate hyperplasia, as well as for the treatment of inflammation, such as neurological inflammation and chronic arthritis inflammation. In a preferred embodiment, the trk kinase receptor is trk A.

The majority of cancers have an absolute requirement for angiogenesis, the process by which new blood vessels are formed. The most potent angiogenic cytokine is vascular endothelial growth factor (VEGF) and there has been substantial research into the development of VEGF/VEGF receptor (VEGFR) antagonists. Receptor tyrosine kinase (RTK) inhibitors could have broad spectrum antitumor activity in patients with advanced pre-treated breast and colorectal carcinoma and Kaposi's sarcoma. Potentially these agents may play a role in the treatment of both early (adjuvant) and advanced cancer. The importance of angiogenesis for the progressive growth and viability of solid tumors is well established. Emerging data suggest an involvement of angiogenesis in the pathophysiology of hematologic malignancies as well. Recently, authors have reported increased angiogenesis in the bone marrow of patients with acute myeloid leukemia (AML) and normalization of bone marrow microvessel density when patients achieved a complete remission (CR) after induction chemotherapy. Tumor angiogenesis depends on the expression of specific mediators that initiate a cascade of events leading to the formation of new microvessels. Among these, VEGF (vascular endothelial growth factor), FGF (fibroblast growth factor) play a pivotal role in the induction of neovascularization in solid tumors. These cytokines stimulate migration and proliferation of endothelial cells and induce angiogenesis in vivo. Recent data suggest an important role for these mediators in hematologic malignancies as well. Isolated AML blasts overexpress VEGF and VEGF receptor 2. Thus, the VEGF/VEGFR-2 pathway can promote the growth of leukemic blasts in an autocrine and paracrine manner. Therefore, neovascularization and angiogenic mediators/receptors may be promising targets for anti-angiogenic and anti-leukemic treatment strategies. Thus, in other embodiments, the present invention provides a method for treating or preventing angiogenic disorders where VEGFR kinase activity contributes to pathological conditions, the method comprising providing a compound of the present invention in an amount sufficient to result in the vascular endothelial growth factor receptor being contacted with an effective inhibitory amount of the compound. Inhibition of VEGFR implies utility in, for example, angiogenic disorders such as cancer of solid tumors, endometriosis, macular degeneration, retinopathy, diabetic retinopathy, psoriasis, hemangioblastoma, as well as other ocular diseases and cancers.

FLT3, a member of the receptor tyrosine kinase (RTK) class III, is preferentially expressed on the surface of a high proportion of acute myeloid leukemia (AML) and B-lineage acute lymphocytic leukemia (ALL) cells in addition to hematopoietic stem cells, brain, placenta and liver. An interaction of FLT3 and its ligand has been shown to play an important role in the survival, proliferation and differentiation of not only normal hematopoetic cells but also leukemia cells. Mutations of the FLT3 gene was first reported as an internal tandem duplication (ITD) of the juxtamembrane (JM) domain-coding sequence, subsequently as a missense mutation of D835 within a kinase domain. ITD- and D835-mutations are essentially found in AML and their frequencies are approximately 20 and 6% of adults with AML, respectively. Thus, mutation of the FLT3 gene is so far the most frequent genetic alteration reported to be involved in AML. Several large-scale studies in well-documented patients published to date have demonstrated that ITD-mutation is strongly associated with leukocytosis and a poor prognosis. An inhibitor compound of FLT3 tyrosine kinase have an application in treatment of leukemia. The present invention provides a method for treating disorders characterized by responsiveness to FLT3 inhibition, the method comprising providing a compound of the present invention in an amount sufficient to result in the inhibition of FLT3.

Platelet-derived growth factor (PDGF) was one of the first polypeptide growth factors identified that signals through a cell surface tyrosine kinase receptor (PDGF-R) to stimulate various cellular functions including growth, proliferation, and differentiation. Since then, several related genes have been identified constituting a family of ligands (primarily PDGF A and B) and their cognate receptors (PDGF-R alpha and beta). To date, PDGF expression has been shown in a number of different solid tumors, from glioblastomas to prostate carcinomas. In these various tumor types, the biologic role of PDGF signaling can vary from autocrine stimulation of cancer cell growth to more subtle paracrine interactions involving adjacent stroma and even angiogenesis. Thus, in additional embodiments, the present invention provides a method for treating or preventing disorders where PDGFR activity contributes to pathological conditions, the method comprising providing a compound of the present invention in an amount sufficient to result in the platelet derived growth factor receptor being contacted with an effective inhibitory amount of the compound. Inhibition of PDGFR implies utility in, for example, various forms of neoplasia, rheumatoid arthritis, chronic arthritis, pulmonary fibrosis, myelofibrosis, abnormal wound healing, diseases with cardiovascular end points, such as atherosclerosis, restenosis, post-angioplasty restenosis, and the like.

In further embodiments, the present invention provides a method for treating or preventing disorders where MLK activity contributes to pathological conditions, such as those listed above, wherein the method comprises providing a compound of the present invention in an amount sufficient to result in the MLK receptor being contacted with an effective inhibitory amount of the compound. Inhibition of MLK implies utility in, for example, forms of cancer where MLKs play a pathological role as well as in neurological disorders.

In still other embodiments, the present invention provides a method for treating disorders characterized by the aberrant activity of trophic factor responsive cells, the method comprising providing a compound of the present invention in an amount sufficient to result in the trophic factor cell receptor being contacted with an effective activity inducing amount of the compound. In certain preferred embodiments, the activity of the trophic factor responsive cells is ChAT activity.

Fibroblast growth factor receptors (FGFR) are members of a family of polypeptides synthesized by a variety of cell types during the processes of embryonic development and in adult tissues. FGFR have been detected in normal and malignant cells and are involved in biological events that include mitogenic and angiogenic activity with a consequent crucial role in cell differentiation and development. To activate signal transduction pathways, FGFR are coupled to fibroblast growth factors (FGF) and heparan sulfate (HS) proteoglycans to form a biologically fundamental ternary complex. Based on these considerations, inhibitors able to block the signaling cascade through a direct interaction with FGFR could have antiangiogenesis and subsequent antitumor activity. Accordingly, the present invention provides a method for treating disorders characterized by the aberrant activity of FGF responsive cells, the method comprising providing a compound of the present invention in an amount sufficient to result in the FGFR being contacted with an effective activity inducing amount of the compound.

The compounds of the present invention can also have positive effects on the function and survival of trophic factor responsive cells by promoting the survival of neurons. With respect to the survival of a cholinergic neuron, for example, the compound may preserve the survival of a cholinergic neuronal population at risk of dying (due to, e.g., injury, a disease condition, a degenerative condition or natural progression) when compared to a cholinergic neuronal population not presented with such compound, if the treated population has a comparatively greater period of functionality than the non-treated population.

A variety of neurological disorders are characterized by neuronal cells which are dying, injured, functionally compromised, undergoing axonal degeneration, at risk of dying, etc. These neurodegenerative diseases and disorders include, but are not limited to, Alzheimer's disease; motor neuron disorders (e.g. amyotrophic lateral sclerosis); Parkinson's disease; cerebrovascular disorders (e.g., stroke, ischemia); Huntington's disease; AIDS dementia; epilepsy; multiple sclerosis; peripheral neuropathies including diabetic neuropathy and chemotherapy induced peripheral neuropathy, AID related peripheral neuropathy; disorders induced by excitatory amino acids; and disorders associated with concussive or penetrating injuries of the brain or spinal cord.

In other preferred embodiments, the compounds of the present invention are useful for treating or preventing multiple myeloma and leukemias including, but not limited to, acute myelogenous leukemia, chronic myelogenous leukemia, acute lymphocytic leukemia, and chronic lymphocytic leukemia.

In additional embodiments, the present compounds are also useful in the treatment of disorders associated with decreased ChAT activity or the death, injury to spinal cord motoneurons, and also have utility in, for example, diseases associated with apoptotic cell death of the central and peripheral nervous system, immune system and in inflammatory diseases. ChAT catalyzes the synthesis of the neurotransmitter acetylcholine, and it is considered an enzymatic marker for a functional cholinergic neuron. A functional neuron is also capable of survival. Neuron survival is assayed by quantification of the specific uptake and enzymatic conversion of a dye (e.g., calcein AM) by living neurons. The compounds described herein may also find utility in the treatment of disease states involving malignant cell proliferation, such as many cancers.

The compounds of the present invention have important functional pharmacological activities which find utility in a variety of settings, including both research and therapeutic arenas. For ease of presentation, and in order not to limit the range of utilities for which these compounds can be characterized, the activities of the compounds of the present invention can be generally described as follows:

A. Inhibition of enzymatic activity

B. Effect on the function and/or survival of trophic factor responsive cells

C. Inhibition of inflammation-associated responses

D. Inhibition of cell growth associated with hyperproliferative states

E. Inhibition of developmentally programmed motoneuron death

Inhibition of enzymatic activity can be determined using, for example, VEGFR inhibition (e.g., VEGFR2 inhibition), MLK inhibition (e.g., MLK1, MLK2 or MLK3 inhibition), PDGFR kinase inhibition, NGF-stimulated trk phosphorylation, PKC inhibition, or trk tyrosine kinase inhibition assays. Effect on the function and/or survival of trophic factor responsive cells, e.g., cells of a neuronal lineage, can be established using any of the following assays: (1) cultured spinal cord choline acetyltransferase (“ChAT”) assay; (2) cultured dorsal root ganglion (“DRG”) neurite extension assay; (3) cultured basal forebrain neuron (“BFN”) ChAT activity assay. Inhibition of inflammation-associated response can be established using an indoleamine 2,3-dioxygenase (“IDO”) mRNA assay. Inhibition of cell growth associated with hyperproliferative states can be determined by measuring the growth of cell lines of interest, such as an AT2 line in the case of prostate cancer. Inhibition of developmentally programmed motoneuron death can be assessed in ovo using embryonic chick somatic motoneurons, which cells undergo naturally occurring death between embryonic days 6 and 10, and analyzing inhibition of such naturally occurring cell death as mediated by the compounds disclosed herein.

The inhibition of enzymatic activity by the compounds of the present invention can be determined using, for example, the following assays:

VEGFR Inhibition Assay

MLK Inhibition Assay

PKC Activity Inhibition Assay

trkA Tyrosine Kinase Activity Inhibition Assay

Tie-2 Inhibition Assay

CDK1-6 Inhibition Assay

Inhibition of NGF-stimulated trk phosphorylation in a whole cell preparation

Platelet Derived Growth Factor Receptor (PDGFR) inhibition assay

A description of assays that may be used in connection with the present invention are set forth below. They are not intended, nor are they to be construed, as limiting the scope of the disclosure.

Inhibition of trkA Tyrosine Kinase Activity

Selected compounds of the present invention were tested for their ability to inhibit the kinase activity of baculovirus-expressed human trkA cytoplasmic domain using an ELISA-based assay as previously described (Angeles et al., Anal. Biochem. 236: 49-55, 1996). Briefly, the 96-well microtiter plate was coated with substrate solution (recombinant human phospholipase C-γl/glutathione S-transferase fusion protein (Rotin et al., EMBO J., 11: 559-567, 1992). Inhibition studies were performed in 100 μl assay mixtures containing 50 mM Hepes, pH 7.4, 40 μM ATP, 10 mM MnCl₂, 0.1% BSA, 2% DMSO, and various concentrations of inhibitor. The reaction was initiated by addition of trkA kinase and allowed to proceed for 15 minutes at 37° C. An antibody to phosphotyrosine (UBI) was then added, followed by a secondary enzyme-conjugated antibody, alkaline phosphatase-labelled goat anti-mouse IgG (Bio-Rad). The activity of the bound enzyme was measured via an amplified detection system (Gibco-BRL). Inhibition data were analyzed using the sigmoidal dose-response (variable slope) equation in GraphPad Prism. The concentration that resulted in 50% inhibition of kinase activity is referred to as “IC₅₀”.

Inhibition of Vascular Endothelial Growth Factor Receptor Kinase Activity

Selected compounds of the present invention were examined for their inhibitory effects on the kinase activity of baculovirus-expressed VEGF receptor (human flk-1, KDR, VEGFR2) kinase domain using the procedure described for the trkA kinase ELISA assay described above. The kinase reaction mixture, consisting of 50 mM Hepes, pH 7.4, 40 μM ATP, 10 mM MnCl₂, 0.1% BSA, 2% DMSO, and various concentrations of inhibitor, was transferred to PLC-γ/GST-coated plates. VEGFR kinase was added and the reaction was allowed to proceed for 15 min. at 37° C. Detection of phosphorylated product was accomplished by addition of anti-phosphotyrosine antibody (UBI). A secondary enzyme-conjugated antibody was delivered to capture the antibody-phosphorylated PLC-γ/GST complex. The activity of the bound enzyme was measured via an amplified detection system (Gibco-BRL). Inhibition data were analyzed using the sigmoidal dose-response (variable slope) equation in GraphPad Prism.

Inhibition of Mixed Lineage Kinase-1 Activity

The kinase activity of MLK1 was assessed using the Millipore Multiscreen TCA “in-plate” format as described for protein kinase C (Pitt & Lee, J. Biomol. Screening, 1: 47-51, 1996). Briefly, each 50-μl assay mixture contained 20 mM Hepes, pH 7.0, 1 mM EGTA, 10 mM MgCl₂, 1 mM DTT, 25 mM β-glycerophosphate, 60 μM ATP, 0.25 μCi [γ-³²P]ATP, 0.1% BSA, 500 μg/ml myelin basic protein (UBI #13-104), 2% DMSO, 1 μM of test compound, and 1 μg/ml of baculoviral GST-MLK1_(KD). Samples were incubated for 15 min at 37° C. The reaction was stopped by adding ice cold 50% TCA and the proteins were allowed to precipitate for 30 min at 4° C. The plates were then washed with ice cold 25% TCA. Supermix scintillation cocktail was added, and the plates were allowed to equilibrate for 1-2 hours prior to counting using the Wallace MicroBeta 1450 PLUS scintillation counter.

Dual Leucine Zipper Bearing Kinase Assay

Compounds were tested for their ability to inhibit the kinase activity of recombinant baculoviral human DLK, containing the kinase domain and leucine zipper. Activity was measured in 384-well FluoroNunc plates (Cat#460372) using a time-resolved fluorescence readout (PerkinElmer Application Note 1234-968). Plates were coated with 30 μl of the protein substrate MKK7 (Merritt et al. 1999) at a concentration of 20 μg/ml in Tris buffered saline (TBS). Each 30 μl assay contained 20 mM MOPS (pH 7.2), 15 mM MgCl₂, 0.1 mM Na₃VO₄, 1 mM DTT, 5 mM EGTA, 25 mM β-glycerophosphate, 0.1% BSA, 100 μM ATP, and 2.5% DMSO. Reactions were started by the addition of 10 ng/ml GST-hDLK_(KD/LZ). For IC₅₀ determinations, a 10-point dose response curve was generated for each compound. Plates were incubated at 37° C. for 30 minutes, and the reactions stopped by the addition of 100 mM EDTA. Product was detected using Europium-labeled anti-phosphothreonine (Wallac#AD0093; diluted 1:10000 in 3% BSA/T-TBS). Following overnight capture at 4° C., 50 μl enhancement solution (Wallac #1244-105) was added and the plate gently agitated for 5 min. The fluorescence of the resulting solution was then measured using the time-resolved fluorescence (TRF) mode in the Multilabel Reader (Victor2 Model # 1420-018 or Envision Model # 2100). Inhibition data was analyzed using GraphPad PRISM. See also Merritt, S. E., Mata, M., Nihalani, D., Zhu, C., Hu, X., and Holzman, L. B. (1999) The Mixed Lineage Kinase DLK utilizes MKK7 and not MKK4 as Substrate. J. Biol. Chem. 274, 10195-10202.

Tie-2 Tyrosine Kinase Assay

Compounds were tested for their ability to inhibit the kinase activity of recombinant baculoviral human His₆-Tie2 cytoplasmic domain using a modification of the ELISA described for trkA (Angeles et al., 1996). A 384-well plate format was used for single-point screening while IC₅₀s were performed on 96-well plates. For single-point screening, each barcoded 384-well Costar High Binding plate (Cat # 3703) was coated with 50 μl/well of 10 μg/ml substrate solution (recombinant human GST-PLC-γ; Rotin et al., 1992) in Tris-buffered saline (TBS). The Tie2 activity was measured in 50-μl assay mixtures containing 50 mM HEPES (pH 7.2), 40 μM ATP, 10 mM MnCl₂, 2.5% DMSO, 0.05% BSA, and 200 ng/ml His6-Tie2_(CD). For IC₅₀ determinations, the assays were run as described above but in 96-well Costar High Binding plates (Cat # 3703) and with the volumes doubled. A 10-point dose response curve was generated for each compound. The kinase reaction was allowed to proceed at 37° C. for 20 minutes. The detection antibody, N1-Eu anti-phosphotyrosine (PT66) antibody (Wallac #AD0041), was added at 1:2000 diluted in block buffer [3% BSA in TBS with 0.05% Tween-20 (TBST)]. After one-hour incubation at 37° C., 50 μl of enhancement solution (Wallac #1244-105) was added and the plate was gently agitated. The fluorescence of the resulting solution was then measured using the time-resolved fluorescence (TRF) mode in the Multilabel Reader (Victor2 Model # 1420-018 or Envision Model # 2100). Inhibition data were analyzed using ActivityBase and IC₅₀ curves were generated using XLFit. The cited references are as follows:

-   -   1. Angeles, T. S., Steffler, C., Bartlett, B. A., Hudkins, R.         L., Stephens, R. M., Kaplan, D. R., and Dionne, C. A. (1996)         Enzyme-linked immunosorbent assay for trkA tyrosine kinase         activity. Anal. Biochem. 236, 49-55.     -   2. Rotin, D., Margolis, B., Mohammadi, M., Daly, R. J., Daum,         G., Li, N., Fischer, E. H., Burgess, W. H., Ullrich, A.,         Schlessinger, J. (1992) SH2 domains prevent tyrosine         dephosphorylation of the EGF receptor: identification of Tyr992         as the high-affinity binding site for SH2 domains of         phospholipase C-γ. EMBO J. 11, 559-567.

Dosage and Formulation

For therapeutic purposes, the compounds of the present invention can be administered by any means that results in the contact of the active agent with the agent's site of action in the body of the subject. The compounds may be administered by any conventional means available for use in conjunction with pharmaceuticals, either as individual therapeutic agents or in combination with other therapeutic agents, such as, for example, analgesics. The compounds of the present invention are preferably administered in therapeutically effective amounts for the treatment of the diseases and disorders described herein to a subject in need thereof.

A therapeutically effective amount can be readily determined by the attending diagnostician, as one skilled in the art, by the use of conventional techniques. The effective dose will vary depending upon a number of factors, including the type and extent of progression of the disease or disorder, the overall health status of the particular patient, the relative biological efficacy of the compound selected, the formulation of the active agent with appropriate excipients, and the route of administration. Typically, the compounds are administered at lower dosage levels, with a gradual increase until the desired effect is achieved.

Typical dose ranges are from about 0.01 mg/kg to about 100 mg/kg of body weight per day, with a preferred dose from about 0.01 mg/kg to 10 mg/kg of body weight per day. A preferred daily dose for adult humans includes about 25, 50, 100 and 200 mg, and an equivalent dose in a human child. The compounds may be administered in one or more unit dose forms. The unit dose ranges from about 1 to about 500 mg administered one to four times a day, preferably from about 10 mg to about 300 mg, two times a day. In an alternate method of describing an effective dose, an oral unit dose is one that is necessary to achieve a blood serum level of about 0.05 to 20 μg/ml in a subject, and preferably about 1 to 20 μg/ml.

The compounds of the present invention may be formulated into pharmaceutical compositions by admixture with one or more pharmaceutically acceptable excipients. The excipients are selected on the basis of the chosen route of administration and standard pharmaceutical practice, as described, for example, in Remington: The Science and Practice of Pharmacy, 20^(th) ed.; Gennaro, A. R., Ed.; Lippincott Williams & Wilkins: Philadelphia, Pa., 2000. The compositions may be formulated to control and/or delay the release of the active agent(s), as in fast-dissolve, modified-release, or sustained-release formulations. Such controlled-release, or extended-release compositions may utilize, for example biocompatible, biodegradable lactide polymers, lactide/glycolide copolymers, polyoxyethylene-polyoxypropylene copolymers, or other solid or semisolid polymeric matrices known in the art.

The compositions can be prepared for administration by oral means; parenteral means, including intravenous, intramuscular, and subcutaneous routes; topical or transdermal means; transmucosal means, including rectal, vaginal, sublingual and buccal routes; ophthalmic means; or inhalation means. Preferably the compositions are prepared for oral administration, particularly in the form of tablets, capsules or syrups; for parenteral administration, particularly in the form of liquid solutions, suspensions or emulsions; for intranasal administration, particularly in the form of powders, nasal drops, or aerosols; or for topical administration, such as creams, ointments, solutions, suspensions aerosols, powders and the like.

For oral administration, the tablets, pills, powders, capsules, troches and the like can contain one or more of the following: diluents or fillers such as starch, or cellulose; binders such as microcrystalline cellulose, gelatins, or polyvinylpyrrolidones; disintegrants such as starch or cellulose derivatives; lubricants such as talc or magnesium stearate; glidants such as colloidal silicon dioxide; sweetening agents such as sucrose or saccharin; or flavoring agents such as peppermint or cherry flavoring. Capsules may contain any of the afore listed excipients, and may additionally contain a semi-solid or liquid carrier, such as a polyethylene glycol. The solid oral dosage forms may have coatings of sugar, shellac, or enteric agents. Liquid preparations may be in the form of aqueous or oily suspensions, solutions, emulsions, syrups, elixirs, etc., or may be presented as a dry product for reconstitution with water or other suitable vehicle before use. Such liquid preparations may contain conventional additives such as surfactants, suspending agents, emulsifying agents, diluents, sweetening and flavoring agents, dyes and preservatives.

The compositions may also be administered parenterally. The pharmaceutical forms acceptable for injectable use include, for example, sterile aqueous solutions, or suspensions. Aqueous carriers include mixtures of alcohols and water, buffered media, and the like. Nonaqueous solvents include alcohols and glycols, such as ethanol, and polyethylene glycols; oils, such as vegetable oils; fatty acids and fatty acid esters, and the like. Other components can be added including surfactants; such as hydroxypropylcellulose; isotonic agents, such as sodium chloride; fluid and nutrient replenishers; electrolyte replenishers; agents which control the release of the active compounds, such as aluminum monostearate, and various co-polymers; antibacterial agents, such as chlorobutanol, or phenol; buffers, and the like. The parenteral preparations can be enclosed in ampules, disposable syringes or multiple dose vials. Other potentially useful parenteral delivery systems for the active compounds include ethylene-vinyl acetate copolymer particles, osmotic pumps, implantable infusion systems, and liposomes.

Other possible modes of administration include formulations for inhalation, which include such means as dry powder, aerosol, or drops. They may be aqueous solutions containing, for example, polyoxyethylene-9-lauryl ether, glycocholate and deoxycholate, or oily solutions for administration in the form of nasal drops, or as a gel to be applied intranasally. Formulations for topical use are in the form of an ointment, cream, or gel. Typically these forms include a carrier, such as petrolatum, lanolin, stearyl alcohol, polyethylene glycols, or their combinations, and either an emulsifying agent, such as sodium lauryl sulfate, or a gelling agent, such as tragacanth. Formulations suitable for transdermal administration can be presented as discrete patches, as in a reservoir or microreservoir system, adhesive diffusion-controlled system or a matrix dispersion-type system. Formulations for buccal administration include, for example lozenges or pastilles and may also include a flavored base, such as sucrose or acacia, and other excipients such as glycocholate. Formulations suitable for rectal administration are preferably presented as unit-dose suppositories, with a solid based carrier, such as cocoa butter, and may include a salicylate.

As those skilled in the art will appreciate, numerous modifications and variations of the present invention are possible in light of the above teachings. It is therefore understood that within the scope of the appended claims, the invention may be practiced otherwise than as specifically described herein, and the scope of the invention is intended to encompass all such variations. 

1. A method of treating a disease or disorder selected from: a. a disease or disorder mediated by VEGF kinase activity; b. a neurodegenerative disease or disorder; c. multiple myeloma; d. leukemia; e. prostate cancer or benign prostate hyperplasia; or f. a disease or disorder mediated by PDGF kinase activity; comprising administering a therapeutically effective amount of a fused pyrrolocarbazole compound of Formula II:

or a pharmaceutically acceptable salt thereof, wherein: ring A together with the carbon atoms to which it is attached, is selected from (a) a phenylene ring in which from 1 to 3 carbon atoms may be replaced by nitrogen atoms; and (b) a 5-membered aromatic ring in which from 1 to 2 carbon atoms may be replaced by nitrogen atoms; R¹ is H or optionally substituted alkyl, wherein said optional substituents are one to three R¹⁰ groups; R² is selected from H, C(═O)R^(2a), C(═O)NR^(2c)R^(2d), SO₂R^(2b), CO₂R^(2b) optionally substituted C₁₋₆ alkyl, optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, optionally substituted C₃₋₁₀ cycloalkyl and optionally substituted 3-10 membered heterocycloalkyl containing at least one heteroatom such as —O—, —S— or —N—, wherein said optional substituents are one to three R¹⁰ groups; R^(2a) is selected from optionally substituted C₁₋₆ alkyl, optionally substituted C₆₋₁₀ aryl, OR^(2b), NR^(2c)R^(2d), (CH₂)_(p)NR^(2c)R^(2d) and O(CH₂)_(p)NR^(2c)R^(2d), wherein said optional substituents are one to three R¹⁰ groups; R^(2b) is selected from H and optionally substituted C₁₋₆ alkyl, wherein said optional substituents are one to three R¹⁰ groups; R^(2c) and R^(2d) are each independently selected from H and optionally substituted C₁₋₆ alkyl, or together with the nitrogen to which they are attached form an optionally substituted 3-13 membered heterocycloalkyl, wherein said optional substituents are one to three R¹⁰ groups; at least one of R³, R⁴, R⁵, and R⁶ is selected from the group consisting of OR¹⁴; C(═O)R²²; CH═NR²⁶; NR¹¹C(═O)R²⁰; NR¹¹C(═O)OR¹⁵; OC(═O)R²⁰; C(═O)NR¹¹R²⁰; O—(C₁₋₆ alkylene)-R²⁴; Z¹-(C₁₋₆ alkylene)-R²³, wherein Z¹ is selected from CO₂, O₂C, C(═O), NR¹¹C(═O), and NR¹¹C(═O)O; and (C₁₋₆ alkylene)-Z²-(C₁₋₆ alkylene)-R²³, wherein Z² is selected from O, S(O)_(y), C(═O)NR¹¹, NR¹¹C(═O), NR¹¹C(═O)NR¹¹, OC(═O)NR¹¹ and NR C(═O)O, wherein said alkylene groups are optionally substituted with one to three R¹⁰ groups; the other R³, R⁴, R⁵, and R⁶ moieties can be independently selected from the group consisting of H, R¹⁰, optionally substituted C₁₋₆ alkyl, optionally substituted C₂₋₆ alkenyl and optionally substituted C₂₋₆ alkynyl, wherein said optional substitutents are one to three R¹⁰ groups; Q is selected from an optionally substituted C₁₋₂ alkylene, wherein said optional substituents are one to three R¹⁰ groups; R¹⁰ is selected from C₁₋₆ alkyl, C₃₋₁₀ cycloalyl, C₃₋₁₀ spirocycloalkyl, C₆₋₁₀ aryl, 5-10 membered heteroaryl containing at least one heteroatom such as —O—, —S— or —N—, 3-10 membered heterocycloalkyl containing at least one heteroatom such as —O—, —S— or —N—, C₆₋₁₀ arylalkoxy, F, Cl, Br, I, CN, CF₃, NR^(27A)R^(27B), NO₂, OR²⁵, OCF₃, ═O, ═NR²⁵, ═N—OR²⁵, ═N—N(R²⁵)₂, OC(═O)NHR¹¹, O—Si(R¹⁶)₄, O-tetrahydropyranyl, ethylene oxide, NR¹⁶C(═O)R²⁵, NR⁶CO₂R²⁵, NR¹⁶C(═O)NR^(27A)R^(27B), NHC(═NH)NH₂, NR¹⁶S(O)₂R²⁵, S(O)_(y)R²⁵, CO₂R²⁵, C(═O)NR^(27A)R^(27B), C(═O)R²⁵, CH₂OR²⁵, (CH₂)_(p)OR²⁵, CH═NNR^(27A)R^(27B), CH═NOR²⁵, CH═NR²⁵, CH═NNHCH(N═NH)NH₂, S(═O)₂NR^(27A)R^(27B), P(═O)(OR²⁵)₂, OR¹³, and a monosaccharide wherein each hydroxyl group of the monosaccharide is independently either unsubstituted or is replaced by H, C₁₋₆ alkyl, C₁₋₆ alkylcarbonyloxy, or C₁₋₆ alkoxy; R¹¹ is selected from H and optionally substituted C₁₋₆ alkyl, wherein said optional substituents are one to three R¹⁰ groups; R¹² is selected from optionally substituted C₁₋₆ alkyl, optionally substituted C610 aryl, and optionally substituted 5-10 membered heteroaryl. containing at least one heteroatom such as —O—, —S— or —N—, wherein said optional substituents are one to three R¹⁰ groups; R¹³ is the residue of an amino acid after the removal of the hydroxyl moeity from the carboxyl group thereof, R¹⁴ is a substituted 5-10 membered heteroaryl containing at least one heteroatom such as —O—, —S— or —N—, wherein said substituents is one to three R¹⁰ groups; R¹⁵ is optionally substituted C₁₋₆ alkyl, wherein said optional substituents is one to three R¹⁰ groups; R¹⁶ is H or C₁₋₆ alkyl; R¹⁷ is selected from optionally substituted C₁₋₆ alkyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl containing at least one heteroatom such as —O—, —S— or —N—, optionally substituted C₃₋₁₀ cycloalkyl, and optionally substituted 3-10 membered heterocycloalkyl containing at least one heteroatom such as —O—, —S— or —N—, wherein said optional substituents are one to three R¹⁰ groups; R¹⁸ is selected from H, optionally substituted C₁₋₆ alkyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, containing at least one heteroatom such as —O—, —S— or —N—, optionally substituted C₃₋₁₀ cycloalkyl, and optionally substituted 3-10 membered heterocycloalkyl, containing at least one heteroatom such as —O—, —S— or —N—, wherein said optional substituents are one to three R¹⁰ groups; R¹⁹ is selected from optionally substituted C₃₋₁₀ cycloalkyl, optionally substituted 3-10 membered heterocycloalkyl, containing at least one heteroatom such as —O—, —S— or —N—, and optionally substituted 5-10 membered heteroaryl, containing at least one heteroatom such as —O—, —S— or —N—, wherein said optional substituents are one to three R¹⁰ groups; R²⁰ is selected from substituted C₆₋₁₀ aryl, substituted 5-10 membered heteroaryl containing at least one heteroatom such as —O—, —S— or —N—, optionally substituted C₃₋₁₀ cycloalkyl, and optionally substituted 3-10 membered heterocycloalkyl containing at least one heteroatom such as —O—, —S— or —N—, wherein said substituents are one to three R¹⁰ groups; R²¹ is selected from substituted C₁₋₆ alkyl, optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, substituted C₆₋₁₀ aryl, substituted C₇₋₁₀ arylalkyl, substituted 5-10 membered heteroaryl containing at least one heteroatom such as —O—, —S— or —N—, optionally substituted C₃₋₁₀ cycloalkyl, and optionally substituted 3-10 membered heterocycloalkyl containing at least one heteroatom such as —O—, —S— or —N—, wherein said substituents are one to three R¹⁰ groups; R²² is an substituted C₆₋₁₀ aryl, substituted 5-10 membered heteroaryl containing at least one heteroatom such as —O—, —S— or —N—, wherein said substituents are one to three R¹⁰ groups; R²³ is selected from optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, containing at least one heteroatom such as —O—, —S— or —N—, optionally substituted C₃₋₁₀ cycloalkyl, optionally substituted 3-10 membered heterocycloalkyl, containing at least one heteroatom such as —O—, —S— or —N—, OR²″, O(CH₂)_(p)OR², (CH₂)_(p)OR², SR¹⁸, SOR⁷, SO₂R¹⁸, CN, N(R²⁰)₂, CHOH(CH₂)_(p)N(R¹¹)₂, C(═O)N(R¹⁸)₂, NR¹⁸C(═O)R¹⁸, NR¹⁸C(═O)N(R¹⁸)₂, C(═NR¹⁸)OR¹⁸, C(R¹²)═NOR¹⁸, NHOR²¹, NR¹⁸C(═NR¹⁸)N(R¹⁸)₂, NHCN, CONR¹⁸OR¹⁸, CO₂R⁸, OCOR¹⁷, OC(═O)N(R¹⁸)₂, NR¹⁸C(═O)OR¹⁷, and C(═O)R¹⁸, wherein said optional substituents are one to three R¹⁰ groups; R²⁴ is selected from optionally substituted alkenyl, optionally substituted C₆₋₁₀ aryl, optionally substituted 5-10 membered heteroaryl, containing at least one heteroatom such as —O—, —S— or —N—, optionally substituted C₃₋₁₀ cycloalkyl, optionally substituted 3-10 membered heterocycloalkyl, containing at least one heteroatom such as —O—, —S— or —N—, CN, OR²¹, O(CH₂)_(p)OR²¹, (CH₂)_(p)OR²¹, SR¹⁹, SOR¹⁷, SO₂R¹⁸, CHOH(CH₂)_(p)N(R¹¹)₂, NR¹⁸C(═O)R¹⁸, NR¹⁸C(═O)N(R¹⁸)₂, C(═NR¹⁸)OR¹⁸, NHOR²¹, NR¹⁸C(═NR¹⁸)N(R¹⁸)₂, NHCN, C(═O)N(R¹⁸)₂, C(═O)NR^(27A)R^(27B), C(═O)NR¹¹R²⁸, C(═O)NR¹⁸OR¹⁸, C(═O)NR¹¹N(R¹¹)₂, C(═O)NR¹¹(alkylene)NR^(27A)R^(27B), CO₂R¹⁸, OCOR¹⁷, OC(═O)N(R¹⁸)₂, NR¹⁸C(═O)OR¹⁷, C(═O)NR¹¹R¹⁸ and C(═O)R¹⁸, wherein said optional substituents are one to three R¹⁰ groups; R²⁵ is H, C₁₋₆ alkyl, C₆₋₁₀ aryl, 5-10 membered heteroaryl, containing at least one heteroatom such as —O—, —S— or —N—, C₃₋₁₀ cycloalkyl, or 3-10 membered heterocycloalkyl, containing at least one heteroatom such as —O—, —S— or —N—; R²⁶ is selected from optionally substituted C₃₋₁₀ cycloalkyl and optionally substituted 3-10 membered heterocycloalkyl, containing at least one heteroatom such as —O—, —S— or —N—, wherein said optional substituents are one to three R¹⁰ groups; R^(27A) and R^(27B) are each independently selected from H and C₁₋₆ alkyl, or together with the nitrogen to which they are attached form an optionally substituted 3-13 membered heterocycloalkyl, containing at least one heteroatom such as —O—, —S— or —N—, wherein said optional substituents are selected from C₁₋₆ alkyl, C₆₋₁₀ aryl and 5-10 membered heteroaryl, containing at least one heteroatom such as —O—, —S— or —N—; R²⁸ is optionally substituted C₇₋₁₈ arylalkyl, wherein said optional substituent is one to three R¹⁰ groups; p is independently selected from 1, 2, 3, and 4; y is independently selected from 0, 1 and 2; and provided that: when Q is CH—R^(a); and one of R² or R^(a) is H and the other is optionally substituted

wherein W is optionally substituted C₁ alkyl, or NR^(27A)R^(27B); then any of R³, R⁴, R⁵, and R⁶ cannot include OR¹⁴ or O-(alkylene)-R²⁴.
 2. The method of claim 1 wherein the disease or disorder is selected from acute myeloid leukemia, cancer of solid tumors, endometriosis, macular degeneration, retinopathy, diabetic retinopathy, psoriasis, and hemangioblastoma.
 3. The method of claim 1 wherein at least one of R³, R⁴, R⁵, and R⁶ is OR¹⁴; C(═O)R²²; NR¹¹C(═O)R²⁰; NR¹¹C(═O)OR¹⁵; OC(═O)R²⁰; or OC(═O)NR¹¹R²⁰.
 4. The method of claim 1 wherein R¹⁴ is benzoxazolyl, benzothiazolyl, pyrimidyl, pyrazinyl or triazinyl; R²² is heteroaryl; R²⁰ is heterocycloalkyl or heteroaryl; R²³ is heteroaryl or heterocycloalkyl; R²⁴ is heteroaryl; and R²⁶ is heterocycloalkyl, wherein each of said R⁴, R²², R²⁰, R²³, R²⁴ and R²⁶ moieties is substituted with between 1 to 3 R¹⁰ groups.
 5. The method of claim 1 wherein R¹ is H or optionally substituted C₁₋₆ alkyl.
 6. The method of claim 1 wherein Q is —CH₂CH₂—.
 7. The method of claim 1 wherein R² is H, C(═O)R^(2a), C(═O)NR²CR^(2d), SO₂R^(2b), CO₂R^(2b), optionally substituted C₁₋₆ alkyl optionally substituted C₂₋₆ alkenyl, optionally substituted C₂₋₆ alkynyl, or optionally substituted C₃₋₁₀ cycloalkyl.
 8. The method of claim 1 wherein ring A is phenylene.
 9. The method of claim 1 wherein ring A is pyrazolylene.
 10. The method of claim 1 wherein ring A is


11. The method of claim 1 wherein the compound is a fused pyrrolocarbazole of Formula III:

or a pharmaceutically acceptable salt thereof.
 12. The method of claim 11 wherein the compound is a fused pyrrolocarbazole of Formula IV:

or a pharmaceutically acceptable salt thereof.
 13. The method of claim 11 wherein the compound is a fused pyrrolocarbazole of Formula V:

or a pharmaceutically acceptable salt thereof.
 14. The method of claim 11 wherein the compound is a fused pyrrolocarbazole of Formula VI:

or a pharmaceutically acceptable salt thereof.
 15. The method of claim 13 wherein the fused pyrrolocarbazole compound or pharmaceutically acceptable salt thereof is selected from the following table:

R³ R² Q

H CH₂CH₂

CH₂CH₃ CH₂CH₂

CH₃ CH₂CH₂

CH₂CH₂

H CH₂CH₂

CH₂CH₂H₂CH₃ CH₂CH₂

CH(CH₃)₂ CH₂CH₂

CH₂CH₂

R¹, R² =

CH₂CH₂

CH₂CH(CH₃)₂ CH₂CH₂

CH₂CH₃ CH₂CH₂

CH₂CH(CH₃)₂ CH₂CH₂

CH₂CH₃ CH₂CH₂

H CH₂CH₂

CH₂CH₃ CH₂CH₂

H CH₂CH₂

CH₂CH₂CH₃ CH₂CH₂

CH₂CH(CH₃)₂ CH₂CH₂

CH₂CH(CH₃)₂ CH₂CH₂

CH₂CH═CH₂ CH₂CH₂

CH₂COOEt CH₂CH₂

CH₂COOH CH₂CH₂

CH₂CH(CH₃)₂ CH₂CH₂

CH₂CH(CH₃)₂ CH₂CH₂

CH₂CH(CH₃)₂ CH₂CH₂

CH₂CH(CH₃)₂ CH₂CH₂

CH₂CH₂CH₃ CH₂CH₂

CH(CH₃)₂ CH₂CH₂

CH₂CH(CH₃)₂ CH₂CH₂

CH₂CH₂NMe₂ CH₂CH₂

CH₂CH₂

CH₂CH₂

CH₂CH(CH₃)₂ CH₂CH₂

CH₂CH₂

CH₂CH₂

CH₂CH₂

CH₂CH₂


16. The method of claim 1 wherein the disease or disorder is selected from Alzheimer's disease, amyotrophic lateral sclerosis, Parkinson's disease, stroke, ischemia, Huntington's disease, AIDS dementia, epilepsy, multiple sclerosis, peripheral neuropathy, chemotherapy induced peripheral neuropathy, AIDS related peripheral neuropathy or injury of the brain or spinal cord.
 17. The method of claim 1 wherein the disease or disorder is selected from acute myelogenous leukemia, chronic myelogenous leukemia, acute lymphocytic leukemia, or chronic lymphocytic leukemia.
 18. The method of claim 1 wherein the disease or disorder is selected from neoplasia, chronic arthritis, pulmonary fibrosis, myelofibrosis, abnormal wound healing, and atherosclerosis. 